Morgan Wallis, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-23276 Issued in AZ

Practice address

2563 S Val Vista Dr Ste 108
Gilbert, AZ 85295-6231

Phone

(208) 447-0803

NPI assigned

Jun 13, 2016

Last updated

Mar 19, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1205285087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8507 E KEATS AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852094360",
            "telephone_number": "208-447-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2563 S VAL VISTA DR STE 108",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956231",
            "telephone_number": "208-447-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIS",
        "first_name": "MORGAN",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-23276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Walkington, RN
• Kevin Ray Wall, DC
• Jennifer Wallace, M.D.
• Keith Wallace
• Waller Systems, LLC (Advanced Rehab)
• Walmart Inc. (Wal-Mart Pharmacy 10-5186)
• Walmart Inc. (Walmart Pharmacy 10-3861)
• Walnut Vision Care Az, P.C.
• Alyssa Walrath, PA-C
• Kathleen Walsh, MT-BC, M.ED., BCBA

• Mental Health Counselor in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.