Kyle Wallbaum, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.033600 Issued in IL

Practice address

111 W Jackson St
Morris, IL 60450-1845

Phone

(815) 201-5552

Fax

(815) 242-9654

NPI assigned

Oct 14, 2026

Last updated

Oct 14, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1841196235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W JACKSON ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501845",
            "telephone_number": "815-201-5552",
            "fax_number": "815-242-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W JACKSON ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501845",
            "telephone_number": "815-201-5552",
            "fax_number": "815-242-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLBAUM",
        "first_name": "KYLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.033600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David G Vermillion, M.D.
• Jammie Vickers, APN
• Peter P Vienne Jr., DO
• Wal-Mart Stores, Inc (Vision Center 30-0844)
• Walgreen Co (Walgreens #04348)
• Walmart Inc.
• Bo Wang, DO
• Melissa Wasko
• Sarah Anne Welch, LPC
• Stephanie K Whitmer, MD

• Mental Health Counselor in Morris, IL
• Providers in Morris, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.