Joel Wallace, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

61575880 Issued in WA

Practice address

1420 State Route 20
Sedro Woolley, WA 98284-4322

Phone

(360) 854-7400

Fax

(360) 854-7445

NPI assigned

Jun 22, 2026

Sex

Male

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

Practice roles

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.

• Telecare Mental Health Services of Washington, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Sedro Woolley, WA
  • NPI 1659758639
  NPD (past)

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1740116276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 STATE ROUTE 20",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982844322",
            "telephone_number": "360-854-7400",
            "fax_number": "360-854-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 STATE ROUTE 20",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982844322",
            "telephone_number": "360-854-7400",
            "fax_number": "360-854-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "JOEL",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "61575880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold George Von Bergen, P.T.
• Amanda Noel Voorhees, MOTR/L
• Erin Vopalensky
• Walgreen Co
• Shaye Lynn Walker
• Michael Walsh
• April C Walton
• Lori Anne Walton, CDP
• Isabelle L. Warner, LMP
• Melissa Warner

• Licensed Practical Nurse in Sedro Woolley, WA
• Providers in Sedro Woolley, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.