Aimee Rose Wallace, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2022020122

Practice address

2451 Executive Dr Ste 205
Saint Charles, MO 63303-5606

Phone

(314) 375-6599

NPI assigned

Oct 9, 2019

Last updated

May 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1083256234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 EXECUTIVE DR STE 205",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035606",
            "telephone_number": "314-375-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 EXECUTIVE DR STE 205",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035606",
            "telephone_number": "314-375-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "AIMEE",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "2022020122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Walker
• Mary L. Walker, PLPC
• Tricia Walker
• William V Walker, MD
• John M Walkonis, DDS
• David Stuart Wallace, D.C.
• Mary Wallace, OTR
• Joseph G Waller, M.D., M.P.H.
• James Walsh
• Martin J Walsh, M.D.

• Professional Counselor in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.