WILLIE WALLACE
NPI 1750773982
Counselor in Minneapolis, MN

NPI Status: Active since February 25, 2015

Contact Information

227 COLFAX AVE N STE 130
MINNEAPOLIS, MN
ZIP 55405
Phone: (612) 259-7384

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  • Individual
  • Male
  • Counselor

About WILLIE WALLACE

This page provides the complete NPI Profile along with additional information for Willie Wallace, a provider established in Minneapolis, Minnesota with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1750773982 assigned on February 2015. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1750773982
Provider Name
WILLIE WALLACE
Gender
Male
Entity Type
Individual
Location Address
227 COLFAX AVE N STE 130 MINNEAPOLIS, MN 55405
Location Phone
(612) 259-7384
Mailing Address
227 COLFAX AVE N STE 130 MINNEAPOLIS, MN 55405
Mailing Phone
(612) 259-7384
Is Sole Proprietor?
No
Enumeration Date
02-25-2015
Last Update Date
02-25-2015
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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

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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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.
1750773982
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001476916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 4 + 7 + 6 + 9 + 1 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1750773982 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972948107 HEIDI SCHLEWITZ LMFT
Individual
Marriage & Family Therapist227 COLFAX AVE N STE 130
MINNEAPOLIS, MN 55405
(612) 259-7384
1417381179MRS. LAURA BERLIN M.A., LMFT
Individual
Marriage & Family Therapist227 COLFAX AVE N STE 130
MINNEAPOLIS, MN 55405
(612) 259-7384
1104218338 STEVE FLOYD
Individual
Counselor227 COLFAX AVE N STE 130
MINNEAPOLIS, MN 55405
(612) 259-7384
1679965800 COREY BYRD
Individual
Counselor227 COLFAX AVE N STE 130
MINNEAPOLIS, MN 55405
(612) 259-7384

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750773982, enumerated in the NPI registry as an "individual" on February 25, 2015

The provider is located at 227 Colfax Ave N Ste 130 Minneapolis, Mn 55405 and the phone number is (612) 259-7384

The provider's speciality is Counselor with taxonomy code 101Y00000X

This NPI record was last updated on February 25, 2015. 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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