MEGAN A WALLACE (NPI# 1962697185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962697185 |
Entity Type | Individual |
Full Name | MEGAN A WALLACE |
Credential | BA |
Practice Address |
7330 W Layton Ave Milwaukee WI 53220-3849 |
Practice Telephone | 4148771071 |
Mailing Telephone | 4148771071 |
Enumeration Date | 2007-09-11 |
Last Update Date | 2019-12-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15367-131 | WI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 39179700 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447725957 | Megan Elizabeth Wallace | Behavior Technician | 784 Kelsall Dr, Richmond Hill, GA 31324-7706 | 2018-10-11 |
1386181022 | Megan Wallace | Nurse Practitioner | 2240 W Park Place Blvd Ste A, Stone Mountain, GA 30087-3543 | 2017-01-19 |
1972838878 | Megan Ann Wallace | Speech-Language Pathologist | 1000 W 15th St, Unit 224, Chicago, IL 60608-1882 | 2009-10-09 |
1003385170 | Megan Nicol Wallace | Speech-Language Pathologist | 1628 19th St, Lubbock, TX 79401-4895 | 2018-11-19 |
1780123521 | Megan E. Wallace | Physician Assistant | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2017-02-13 |
1326420720 | Megan Wallace | Social Worker | 67 President St, Msc 861, Iop 2 South, Charleston, SC 29425-5712 | 2015-06-22 |
1174911168 | Megan Wallace | Nurse Anesthetist, Certified Registered | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2014-12-30 |
1881095933 | Megan Wallace | Counselor | 110 E Main St, Ottumwa, IA 52501-2910 | 2014-09-09 |
1306252473 | Megan Wallace | Occupational Therapist | 162 W 72nd St, 5th Floor, New York, NY 10023-3300 | 2014-07-09 |
1306192810 | Megan M Wallace | Audiologist | 2502 E Empire St, Bloomington, IL 61704-3738 | 2012-08-02 |
Street Address |
7330 W LAYTON AVE |
City | MILWAUKEE |
State | WI |
Zip Code | 53220-3849 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538156369 | Ali O Artar | Psychiatry & Neurology | 7330 W Layton Ave, Milwaukee, WI 53220-3849 | 2005-10-06 |
1760911945 | Jacquelyn E Nasby | Counselor | 7330 W Layton Ave, Milwaukee, WI 53220 | 2017-06-09 |
1285163154 | Michael Bortin | Counselor | 7330 W Layton Ave, Milwaukee, WI 53220-3849 | 2017-06-05 |
1619328069 | Stefanie J Bailey | Nurse Practitioner | 7330 W Layton Ave, Milwaukee, WI 53220-3849 | 2016-06-27 |
1871723783 | Heather E Sorensen | Counselor | 7330 W Layton Ave, Milwaukee, WI 53220-3849 | 2009-07-27 |
1013144252 | Prachi Sharma | Psychologist | 7330 W Layton Ave, Milwaukee, WI 53220-3849 | 2009-06-15 |
1346302072 | Robert Loiben | Psychiatry & Neurology | 7330 W Layton Ave, Milwaukee, WI 53220-3849 | 2006-12-16 |
1588725436 | Jodi Leigh Dreier | Nurse Practitioner | 7330 W Layton Ave, Milwaukee, WI 53220-3849 | 2006-12-13 |
1760570931 | Maryann Grochowski | Social Worker | 7330 W Layton Ave, American Behavioral Clinic, Milwaukee, WI 53227 | 2006-10-11 |
1306934476 | Stephen Douglas Hart | Social Worker | 7330 W Layton Ave, American Behavioral Clinics Sc, Milwaukee, WI 53220-3849 | 2006-10-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871061069 | Kathleen Elizabeth White | Orthotist | 6790 W. Layton Ave, Greenfield, WI 53220 | 2018-11-06 |
1992284087 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 4859 South 60th Street, Greenfield, WI 53220 | 2018-08-09 |
1609394220 | Aaron Park | Speech-Language Pathologist | 3540 S. 43rd St., Milwaukee, WI 53220 | 2017-09-04 |
1730601675 | Rosaana Avila | Physical Therapist | 3944 S. 60th St., Milwaukee, WI 53220 | 2017-07-12 |
1285002667 | Casey E Reis | Nurse Practitioner | 4848 S. 76th Street, Greenfield, WI 53220 | 2015-09-02 |
1437539798 | Luke Robert Garceau | Physical Therapist | 6520 W. Layton Ave #101, Greenfield, WI 53220 | 2015-06-02 |
1295139012 | Tammy Giannopoulos, LLC | Clinic/Center | 4402 S 68th St Suite 100, Greenfield, WI 53220 | 2014-10-22 |
1861754244 | Lakeshore Medical Clinic | Occupational Therapist | 4444 West Loomis Road, 200, Greenfield, WI 53220 | 2012-06-12 |
1598083115 | Rebecca Anne Kappes | Licensed Practical Nurse | 8208 W Tripoli, Milwaukee, WI 53220 | 2010-05-06 |
1699941005 | Susan Marie Delaet | Physical Therapy Assistant | 5700 West Layton Ave, Greenfield, WI 53220 | 2008-05-06 |
Find all providers in zip 53220 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649879982 | Veronicia S Green | Counselor | 2821 N Vel R Phillips Ave Ste 131, Milwaukee, WI 53212-2370 | 2020-10-19 |
1932733193 | 1 Step Away Divine Counseling Service LLC | Counselor | 6815 W Capitol Dr Ste 308, Milwaukee, WI 53216-2056 | 2020-02-26 |
1689216293 | Carollyn Black | Counselor | 4892 N 19th St, Milwaukee, WI 53209-5757 | 2019-10-15 |
1861046146 | Lisa Marie Ortiz | Counselor | 3336 S 76th St, Milwaukee, WI 53219-3805 | 2019-07-25 |
1891359576 | Kenneth Ginlack Sr Consulting Services LLC | Counselor | 3927 S Howell Ave Ste 102, Milwaukee, WI 53207-4421 | 2019-04-27 |
1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
1992280218 | Tanya Lynn Peters | Counselor | 9224 W Burleigh St, Milwaukee, WI 53222-3503 | 2018-10-02 |
1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
Find all providers in MILWAUKEE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.