MADISON WALLACE LPCC
NPI 1205378031
Counselor - Professional in Lexington, KY

NPI Status: Active since November 10, 2016

Contact Information

450 OLD VINE ST STE 305
LEXINGTON, KY
ZIP 40507
Phone: (859) 667-4301

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  • Individual
  • Female
  • Counselor
  • Professional

About MADISON WALLACE

This page provides the complete NPI Profile along with additional information for Madison Wallace, a provider established in Lexington, Kentucky with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1205378031 assigned on November 2016. The practitioner's primary taxonomy code is 101YP2500X with license number 260537 (KY). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1205378031
Provider Name
MADISON WALLACE LPCC
Gender
Female
Entity Type
Individual
Location Address
450 OLD VINE ST STE 305 LEXINGTON, KY 40507
Location Phone
(859) 667-4301
Mailing Address
1351 NEWTOWN PIKE BUILDING 5 LEXINGTON, KY 40511
Is Sole Proprietor?
No
Enumeration Date
11-10-2016
Last Update Date
11-19-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
260537
License State
KY

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1790731081MEDICAID (05)KY 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205378031
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2205671606
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 6 + 7 + 1 + 6 + 0 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1205378031 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205378031, enumerated in the NPI registry as an "individual" on November 10, 2016

The provider is located at 450 Old Vine St Ste 305 Lexington, Ky 40507 and the phone number is (859) 667-4301

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 10, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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