MR. CHARLES WILLIAM WALLACE (NPI# 1851506463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851506463 |
| Entity Type | Individual |
| Full Name | MR. CHARLES WILLIAM WALLACE |
| Credential | LMFT |
| Practice Address |
5738 Olde Wadsworth Blvd Arvada CO 80002-2535 |
| Mailing Address |
1370 Estes St Apt 201 Lakewood CO 80215-4866 |
| Practice Telephone | 7202032903 |
| Mailing Telephone | 3032953326 |
| Mailing Fax Number | 7754020854 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 749 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902140932 | Charles L Wallace | Counselor | 2901 E. 20th Suite 104, Farmington, NM 87499 | 2012-11-15 |
| 1073643862 | Charles Wayne Wallace | Dentist | 502 N Coalter St, Staunton, VA 24401-3401 | 2007-03-07 |
| 1063584746 | Charles E Wallace | Dentist | 3221 Eastlake Ave E Ste 130, Seattle, WA 98102-7125 | 2006-11-15 |
| 1164422481 | Charles Alan Wallace | Surgery | 17110 Dallas Pkwy, Suite 100, Dallas, TX 75248-1167 | 2005-07-28 |
| 1144229600 | Charles Douglas Wallace | Orthopaedic Surgery | 3030 Childrens Way, Ste 410, San Diego, CA 92123-4232 | 2005-07-18 |
| 1780125203 | Charles Jerome Wallace | Counselor | 55 W 125th St Fl 11, New York, NY 10027-4516 | 2017-03-16 |
| 1578621231 | Charles R. Wallace Jr. | Urology | 1325 Eastmoreland Ave, Suite 425, Memphis, TN 38104-3519 | 2006-12-05 |
| 1881702736 | Charles T Wallace | Anesthesiology | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| 1780652792 | Charles W Wallace | Family Medicine | 4455 Dressler Rd Nw, Canton, OH 44718-2785 | 2006-03-08 |
| Street Address |
5738 OLDE WADSWORTH BLVD |
| City | ARVADA |
| State | CO |
| Zip Code | 80002-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083663660 | Hans J Sieber | Counselor | 5738 Olde Wadsworth Blvd, Arvada, CO 80002-2535 | 2006-05-09 |
| 1740505189 | Katherine T Alexander | Social Worker | 5738 Olde Wadsworth Blvd, Arvada, CO 80002-2535 | 2010-03-29 |
| 1003073982 | Towne Square Associates, LLC | Counselor | 5738 Olde Wadsworth Blvd, Arvada, CO 80002-2535 | 2008-05-19 |
| 1205020575 | Patricia Lorraine Terril-meineke | Counselor | 5738 Olde Wadsworth Blvd, Arvada, CO 80002-2535 | 2007-08-30 |
| 1558552059 | Christine Burnosky | Counselor | 5738 Olde Wadsworth Blvd, Arvada, CO 80002-2535 | 2007-08-08 |
| 1912093758 | Richard David Cohen | Counselor | 5738 Olde Wadsworth Blvd, Arvada, CO 80002-2535 | 2006-10-05 |
| 1821197765 | Gladys Ann Day | Counselor | 5738 Olde Wadsworth Blvd, Arvada, CO 80002-2535 | 2006-09-21 |
| 1437257318 | Karyl Mcbride | Counselor | 5738 Olde Wadsworth Blvd, Arvada, CO 80002-2535 | 2006-09-21 |
| 1023126422 | Fara Diane Murata | Social Worker | 5738 Olde Wadsworth Blvd, Arvada, CO 80002-2535 | 2006-08-26 |
| 1457365546 | David R Torres | Psychiatry & Neurology | 5738 Olde Wadsworth Blvd, Arvada, CO 80002-2535 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578036679 | Mountain Valley Mental Health, LLC | Nurse Practitioner | 5400 Ward Rd Building V, Suite 110, Arvada, CO 80002 | 2019-01-10 |
| 1013407865 | University of Colorado Hospital Authority | Clinic/Center | 9505 Ralston Rd., Arvada, CO 80002 | 2018-05-17 |
| 1023513793 | Kent Lamountdo Jones | Behavior Technician | Aspen Business Park 5400 Building II Suite G-101, Arvada, CO 80002 | 2018-03-26 |
| 1023536638 | Jennifer Rindt | Pharmacist | 5656 Ward Way Unit A, Arvada, CO 80002 | 2017-09-03 |
| 1396273884 | Rocky Mountain Physicians Group, PC | Clinic/Center | 9250 Ralston Rd, Arvada, CO 80002 | 2017-05-26 |
| 1164955852 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 9400 Ralston Road, Arvada, CO 80002 | 2017-04-10 |
| 1003355173 | Ohana Service Agency | Foster Care Agency | 8600 Ralston Rd # L103, Arvada, CO 80002 | 2017-02-22 |
| 1053863738 | Parker Personal Care Homes, Inc. | Day Training, Developmentally Disabled Services | 6055 West 55th Place, Arvada, CO 80002 | 2016-10-28 |
| 1316397433 | Cortez Harvey | Counselor | 5275 Marshall St Ste 101, Arvada, CO 80002 | 2016-06-20 |
| 1013311216 | Peter J Dahlberg | Nurse Practitioner | 5400 Ward Rd Ste 110, Arvada, CO 80002 | 2014-10-16 |
| Find all providers in zip 80002 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164032637 | Kari Arvisais | Marriage & Family Therapist | 5220 Garrison St Apt 6, Arvada, CO 80002-3342 | 2020-08-08 |
| 1285263715 | Nicole Piske | Marriage & Family Therapist | 5930 Ingalls St Ste D, Arvada, CO 80003-5681 | 2020-04-06 |
| 1447883566 | Mount Tabor Counseling | Marriage & Family Therapist | 5945 Ward Rd Ste 100, Arvada, CO 80004-3901 | 2020-02-17 |
| 1821245366 | Linda Nora Stilling | Marriage & Family Therapist | 5255 Marshall St Ste 208, Arvada, CO 80002-3924 | 2008-08-27 |
| 1225247240 | Randy Allen Braley | Marriage & Family Therapist | 6561 Zinnia St, Arvada, CO 80004-2250 | 2007-05-22 |
| 1225184138 | John G Mowery | Marriage & Family Therapist | 8151 Simms St, Arvada, CO 80005-1933 | 2007-01-25 |
| 1275685547 | Kerry Anne Derrick | Marriage & Family Therapist | 7724 Terry Court, Arvada, CO 80007 | 2007-01-17 |
| 1508962424 | Linda Chassman | Marriage & Family Therapist | 7275 Kipling St, Arvada, CO 80005-3857 | 2006-09-16 |
| 1144333618 | Stephen Michael Armstrong | Marriage & Family Therapist | 5400 Ward Rd, Bldg 3, Suite L-10, Arvada, CO 80002 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194399 | Gregory Scott Seibert | Marriage & Family Therapist | 7535 E Hampden Ave Ste 508, Denver, CO 80231-4843 | 2020-11-02 |
| 1275132920 | Kimberly Suzanne Ferguson Murray | Marriage & Family Therapist | 5756 Osbourne Dr, Windsor, CO 80550-2748 | 2020-10-23 |
| 1659970705 | Harvey Pacht | Marriage & Family Therapist | 9850 E Grand Ave, Greenwood Village, CO 80111-3620 | 2020-10-20 |
| 1780283150 | Passages Therapy | Marriage & Family Therapist | 600 S. Airport Rd. Bldg A Ste G, Longmont, CO 80503-6476 | 2020-10-18 |
| 1215535612 | Eric Crowley | Marriage & Family Therapist | 8555 Fairmount Dr Apt B208, Denver, CO 80247-6503 | 2020-10-16 |
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1386250009 | Even Flow Therapy LLC | Marriage & Family Therapist | 2409 Dalton Dr, Fort Collins, CO 80526-5353 | 2020-09-17 |
| 1972116788 | Kensington Osmond | Marriage & Family Therapist | 720 S Colorado Blvd # 1353n, Denver, CO 80246-1904 | 2020-08-31 |
| 1265043475 | Miss Kathleen LLC | Marriage & Family Therapist | 5718 Foxfire St, Timnath, CO 80547-2289 | 2020-08-11 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
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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.