Constance Alberta Wallace

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1836 Fremont St
Ashland, OR 97520-2537

Phone

(541) 414-1720

NPI assigned

Dec 31, 2025

Last updated

Dec 31, 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

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

{
    "created_epoch": "1767139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1437015633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1482 WOODLAND DR",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975203452",
            "telephone_number": "541-625-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 FREMONT ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202537",
            "telephone_number": "541-414-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "CONSTANCE",
        "middle_name": "ALBERTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-31",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Wagenseller, MA, LPC
• Penelope Elizabeth Waits
• Brenda Annette Walker, PHARMD
• Nicholas Walker
• Breeanna Wallace, LMT, MLD-C
• Annie Danielle Walsh, BS
• Shelby Hiigel Wanser
• Edward J. Warr, D.M.D.
• Cara Leeann Warren
• Rochelle Marie Warren, RN MSN

• Mental Health Counselor in Ashland, OR
• Providers in Ashland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.