Karen Ann Wallace, MALPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1405 Issued in CO

Practice address

285 Lakin Street
Ignacio, CO 81137-0800

Phone

(970) 563-4517

Fax

(970) 563-4504

NPI assigned

May 7, 2009

Last updated

May 7, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southern Colorado Community Action Agency, Inc.

  • Professional Counselor
  • Ignacio, CO
  • NPI 1164665956
  NPD (past)

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241654400000",
    "number": "1649404500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 LAKIN STREET",
            "city": "IGNACIO",
            "state": "CO",
            "postal_code": "811370800",
            "telephone_number": "970-563-4517",
            "fax_number": "970-563-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 LAKIN STREET",
            "city": "IGNACIO",
            "state": "CO",
            "postal_code": "811370800",
            "telephone_number": "970-563-4517",
            "fax_number": "970-563-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MALPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "1405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette S Swayze, N.P.
• Shawmarie Tso, RN, CLC
• Susan Jane Turner, RN,CDE
• Hilbert Ray Vigil
• Monica Wagner, CD(DONA)
• Sherry Walls, LMT, LMMT
• Mariellen Walz, BA, MST
• Justin Weststeyn, DDS
• Richard Lyman Wilson, DDS
• Galina Wood, B.S.

• Mental Health Counselor in Ignacio, CO
• Providers in Ignacio, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.