Elisha Wallace

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

14201269-6009 Issued in UT

Practice address

13751 S Wadsworth Park Dr Ste 103
Draper, UT 84020-2103

Phone

(801) 978-3236

NPI assigned

Aug 31, 2026

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

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1275441446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1376 W MAHOGANY ST",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455907",
            "telephone_number": "801-310-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13751 S WADSWORTH PARK DR STE 103",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840202103",
            "telephone_number": "801-978-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "ELISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "14201269-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Walker
• Zachary Walker
• Alexis Wall
• Nathan Randall Wall, D.C.
• David Wallace, DO
• Hannah Rose Wallace, NP
• Katelyn Waller
• Walmart Inc.
• Jessica Walsh
• Karen Walter

• Mental Health Counselor in Draper, UT
• Providers in Draper, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.