MS. KELSEY MARIE WALLACE (NPI# 1023328051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023328051 |
| Entity Type | Individual |
| Full Name | MS. KELSEY MARIE WALLACE |
| Credential | MS, LMHC |
| Practice Address |
3115 Douglas Ave Des Moines IA 50310-5307 |
| Mailing Address |
100 E Euclid Ave Suite 143 Des Moines IA 50313-4511 |
| Practice Telephone | 5152354720 |
| Mailing Telephone | 5152568001 |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
001328 | IA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285199083 | Kelsey Ann Wallace | Specialist/Technologist | 3362 Fox Creek Ln, Sharpsville, PA 16150-9330 | 2019-02-05 |
| 1063870418 | Kelsey Wallace | Massage Therapist | 437 Fern Ave, #d, Jackson, MI 49202-3970 | 2016-02-01 |
| 1508098914 | Kelsey Wallace | Pharmacist | 522 Nw 24th Cir, Camas, WA 98607 | 2009-08-18 |
| 1013576990 | Kelsey A Wallace | Nurse Anesthetist, Certified Registered | 701 N 1st St, Springfield, IL 62781-0001 | 2019-06-13 |
| Street Address |
3115 DOUGLAS AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50310-5307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407095011 | Andrea Gustafson | Social Worker | 3115 Douglas Ave, Des Moines, IA 50310-5307 | 2009-02-05 |
| 1396146163 | Jerome Miller | Counselor | 3115 Douglas Ave, Des Moines, IA 50310-5307 | 2014-09-10 |
| 1760812085 | Devin Wood | Counselor | 3115 Douglas Ave, Des Moines, IA 50310-5307 | 2013-11-22 |
| 1942649793 | Diane Kay Bales | Counselor | 3115 Douglas Ave, Des Moines, IA 50310-5307 | 2013-06-14 |
| 1215375878 | Jayci Laine Adams | Social Worker | 3115 Douglas Ave, Des Moines, IA 50310-5307 | 2013-06-05 |
| 1902243785 | Natalie Anderson | Social Worker | 3115 Douglas Ave, Des Moines, IA 50310-5307 | 2013-06-03 |
| 1699011254 | Emily Theresa Lynch Murphy | Counselor | 3115 Douglas Ave, Des Moines, IA 50310-5307 | 2012-12-28 |
| 1396058103 | Jamie Lynn Nelson-kirby | Marriage & Family Therapist | 3115 Douglas Ave, Des Moines, IA 50310-5307 | 2010-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295392082 | Cofe Amera LLC | Meals | 4940 Franklin Ave., Des Moines, IA 50310 | 2019-05-28 |
| 1790237444 | Shannon Schneider | Occupational Therapy Assistant | 3802 Hillcrest Dr, Des Moines, IA 50310 | 2016-10-28 |
| 1013261874 | Department of Veterans Affairs Central Iowa Health Care System | Long Term Care Hospital | 3011 Aurora Ave, Des Moines, IA 50310 | 2012-11-01 |
| 1700095551 | Real Optics Inc | Eyewear Supplier (Equipment, not the service) | 100 Merle Hay Road, Merle Hay Mall, Des Moines, IA 50310 | 2007-05-21 |
| 1184776023 | Mosaic | Intermediate Care Facility, Mentally Retarded | 4201 41st Street, Des Moines, IA 50310 | 2007-01-18 |
| 1639237951 | Terry D. Huseman Od PC | Optometrist | 3800 Merle Hay Rd #501, Des Moines, IA 50310 | 2006-12-06 |
| 1386710259 | Mosier Dental Associates | Dentist | 1816 Beaver Ave, Des Moines, IA 50310 | 2006-11-24 |
| 1194828632 | James Matthew Talone | Psychologist | Va Cihcs (116a), 3600 30th St, Des Moines, IA 50310 | 2006-09-07 |
| 1437251824 | Mary Cynthia Chicoine | Social Worker | 3601 Douglas Ave, Des Moines, IA 50310 | 2006-09-05 |
| 1508978602 | Chadwick Aaron Johnson | Dentist | 3710 Merle Hay Road, Des Moines, IA 50310 | 2006-08-31 |
| Find all providers in zip 50310 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922557 | Forward Consulting LLC | Counselor | 4309 University Ave, Des Moines, IA 50311-3423 | 2020-11-03 |
| 1104424779 | Marissa Schuster-ramirez | Counselor | 1611 31st St, Des Moines, IA 50311-2809 | 2020-10-15 |
| 1396399978 | Jenny Erdman | Counselor | 2209 36th St, Des Moines, IA 50310-4408 | 2019-07-31 |
| 1568023182 | Infinity Assessment Services LLC | Counselor | 100 E Euclid Ave Ste 131, Des Moines, IA 50313-4540 | 2019-06-25 |
| 1932763521 | Choices Therapy Services, LLC | Counselor | 3805 Lower Beaver Rd, Des Moines, IA 50310-4708 | 2019-04-29 |
| 1427531987 | David Higdon | Counselor | 6000 Aurora, Suite B, Des Moines, IA 50322-5032 | 2018-09-11 |
| 1588147979 | William Spencer | Counselor | 1063 14th Pl # A, Des Moines, IA 50314-1245 | 2018-09-11 |
| 1457830184 | Deborah L Devries | Counselor | 28313 Redondo Way S Apt 104, Des Moines, WA 98198-8256 | 2018-08-13 |
| 1699288498 | Vincent Kelly | Counselor | 4910 Urbandale Ave Ste 304, Des Moines, IA 50310-2661 | 2017-11-15 |
| 1851839864 | Lawrence Scanlon | Counselor | 412 42nd St, Des Moines, IA 50312 | 2017-02-09 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50310 |
Please comment or provide details below to improve the information on MS. KELSEY MARIE WALLACE.
| 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.