Elliot Wallace, M.S.

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1107 NE 45TH St Ste 315
Seattle, WA 98105-4656

Phone

(206) 785-1953

NPI assigned

Jul 20, 2023

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

Credentials

Master of Science

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1861172249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 DEXTER AVE N UNIT 116",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981093470",
            "telephone_number": "206-402-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 NE 45TH ST STE 315",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054656",
            "telephone_number": "206-785-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "ELLIOT",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Maria Caska Wallace, PH.D.
• Charles E Wallace, DDS
• Chris C Wallace, LMP
• Cynthia Kay Wallace, MD
• Denise Eileen Wallace, LMHC
• Erin Elizabeth Wallace, LMP
• Genevieve Vose Wallace, LMHCA
• Harry Christopher Wallace
• Hattie Wallace, PTA
• Heather Wallace

• Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.