Kathi Wallace, L.C.P.C.
NPI 1114319092 · Professional Counselor · Maryville, IL
Kathi Wallace, L.C.P.C. is a Professional Counselor provider in Maryville, IL (NPI 1114319092).
Provider details
- NPI number
- 1114319092
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- L.C.P.C.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2013036985 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 301 Sovereign Ct Ste 211Ballwin, MO 63011-4435Phone: (314) 626-4285
Registry dates
- Enumerated
- 2015-03-02
- Last updated
- 2022-02-02
- Certified
- 2022-02-02
Frequently asked questions
- What is Kathi Wallace's NPI number?
- Kathi Wallace's National Provider Identifier (NPI) is 1114319092, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kathi Wallace's specialty?
- Kathi Wallace is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Kathi Wallace located?
- Kathi Wallace's practice location on file with NPPES is 5 Schiber Ct Ste D, Maryville, IL 62062-5606.
- What is Kathi Wallace's phone number?
- The practice phone number listed in the NPPES registry for Kathi Wallace is (314) 626-4285.
- Is Kathi Wallace's NPI active?
- Yes — Kathi Wallace's NPI (1114319092) is active in the NPPES registry as of the last update on 2022-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.