Active NPI
Dashawn LM Wallace, LPC
- Professional Counselor
- Canton, MI
National Provider Identifier
1730629973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 170059
- Practice address
- 5840 N Canton Center Rd Ste 220
Canton, MI 48187-6717 - Phone
- (734) 999-0138
- NPI assigned
- Mar 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 170059 | MI | Primary |
Addresses
Primary practice location
5840 N Canton Center Rd Ste 220
Canton, MI 48187-6717
Mailing address
5840 N Canton Center Rd Ste 220
Canton, MI 48187-6717
Phone (734) 999-0138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170059 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dashawn Wallace Counseling, LLC | Professional | Current | Accepting new patients |
Locations
5840 N Canton Center Rd
Ste 220
Canton, MI 48187
Phone (734) 459-8050
13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Ypsilanti, MI
- NPI 1518586411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1730629973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5840 N CANTON CENTER RD STE 220",
"city": "CANTON",
"state": "MI",
"postal_code": "481876717",
"telephone_number": "734-999-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5840 N CANTON CENTER RD STE 220",
"city": "CANTON",
"state": "MI",
"postal_code": "481876717",
"telephone_number": "734-999-0138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLACE",
"first_name": "DASHAWN",
"middle_name": "LM",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-07",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "170059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.