MS. KAREN ANN WALLACE (NPI# 1649404500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649404500 |
| Entity Type | Individual |
| Full Name | MS. KAREN ANN WALLACE |
| Credential | MALPC |
| Practice Address |
285 Lakin Street Ignacio CO 81137-0800 |
| Practice Telephone | 9705634517 |
| Practice Fax Number | 9705634504 |
| Mailing Telephone | 9705634517 |
| Mailing Fax Number | 9705634504 |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-05-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1405 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518347103 | Karen Wallace | Counselor | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2015-06-09 |
| 1063718278 | Karen Wallace | Registered Nurse | 275 Cumberland Bnd, Nashville, TN 37228-1805 | 2011-02-04 |
| 1669776423 | Karen Wallace | Occupational Therapy Assistant | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2011-01-07 |
| 1245463934 | Karen L. Wallace | Radiology | 330 Mount Auburn St, Department of Radiology, Cambridge, MA 02138-5502 | 2009-08-27 |
| 1801078985 | Karen Chandler Wallace | Physical Therapist | 10 Grove Street, Saxtons River, VT 05154-0174 | 2007-11-30 |
| 1568655348 | Karen Wallace | Developmental Therapist | 111 Nature Walk Pkwy, Suite 101, St Augustine, FL 32092-5073 | 2007-08-24 |
| 1811015597 | Karen Elyse Wallace | Social Worker | 439 W 97th St, Los Angeles, CA 90003-3968 | 2007-03-27 |
| 1760532113 | Karen L Wallace | Dietitian, Registered | 15418 Main St, Ste 301, Mill Creek, WA 98012-9030 | 2007-01-10 |
| Street Address |
285 LAKIN STREET |
| City | IGNACIO |
| State | CO |
| Zip Code | 81137-0800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754332 | Jennifer Antoinette Goodtracks | Counselor | 69 Capote Dr, Ignacio, CO 81137 | 2019-05-09 |
| 1508294281 | Garcia Chiropractic Wellness Center, LLC | Chiropractor | 630 Goddard Avenue, Ignacio, CO 81137 | 2013-10-16 |
| 1033486113 | Karen Wendy Rice | Dietitian, Registered | 123 Wenumuche Ave, Ignacio, CO 81137 | 2011-11-17 |
| 1962706630 | Mary Alyce Cross | Massage Therapist | 14324 Us Highway 172n, Ignacio, CO 81137 | 2011-01-10 |
| 1255644753 | Jessaca Ann Cassady | Counselor | 115 Ute Dr, Ignacio, CO 81137 | 2010-07-26 |
| 1528380599 | Tanya Deen Campbell | Counselor | 285 Lakin St., Ignacio, CO 81137 | 2010-02-18 |
| 1720219215 | Cecilia Ann Tucker | Counselor | 296 Mouache Road, Ignacio, CO 81137 | 2009-07-31 |
| 1750511465 | Carol Lynn Ford | Counselor | 296 Moache Circle, Ignacio, CO 81137 | 2009-07-16 |
| 1164656211 | Peaceful Spirit | Substance Abuse Rehabilitation Facility | 296 Mouache, Ignacio, CO 81137 | 2009-05-05 |
| 1881828937 | Mariellen Walz | Social Worker | 296 Mouache Street, Ignacio, CO 81137 | 2009-05-05 |
| Find all providers in zip 81137 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754332 | Jennifer Antoinette Goodtracks | Counselor | 69 Capote Dr, Ignacio, CO 81137 | 2019-05-09 |
| 1528380599 | Tanya Deen Campbell | Counselor | 285 Lakin St., Ignacio, CO 81137 | 2010-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558107 | Alec Farbman | Counselor | 1941 Pearl St Unit 202, Boulder, CO 80302-4467 | 2020-11-08 |
| 1194326116 | Krissy Marlene Ramsey | Counselor | 44 Cook St Ste 100, Denver, CO 80206-5823 | 2020-11-05 |
| 1619578671 | Laura L Hogzett | Counselor | 406 Jerry St Ste 105, Castle Rock, CO 80104-2465 | 2020-11-05 |
| 1043811904 | Cassondra Tina Marie Chagnon | Counselor | 6315 Council Pt Apt 204, Colorado Springs, CO 80923-5136 | 2020-11-05 |
| 1942801378 | Chloe Sari Koeffler | Counselor | 2919 Valmont Rd Ste 209, Boulder, CO 80301-1350 | 2020-11-03 |
| 1093315764 | Mountain Vista Psychology | Counselor | 6635 S Dayton St Ste 140, Greenwood Village, CO 80111-6109 | 2020-10-30 |
| 1437759073 | Haley Marie Rosario | Counselor | 6535 Sam Houston Loop Apt D, Colorado Springs, CO 80902-4723 | 2020-10-30 |
| 1205436151 | Melissa M Foley | Counselor | 1119 S 12th St, Rocky Ford, CO 81067-2409 | 2020-10-29 |
| 1528668795 | Laura Lynn Edwards | Counselor | 1001 E 62nd Ave Unit 590, Denver, CO 80216-1159 | 2020-10-27 |
| 1114527660 | Anneva Noelle Knapp Garner | Counselor | 3363 Hickok Pl, Boulder, CO 80301-1984 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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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.