Everett Wallace
NPI 1528655107 · Addiction (Substance Use Disorder) Counselor · Indio, CA
Everett Wallace is a Addiction (Substance Use Disorder) Counselor provider in Indio, CA (NPI 1528655107).
Provider details
- NPI number
- 1528655107
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- CI30830920 (CA)
Specialties & taxonomies
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
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2020-12-29
- Last updated
- 2020-12-29
- Certified
- 2020-12-29
Frequently asked questions
- What is Everett Wallace's NPI number?
- Everett Wallace's National Provider Identifier (NPI) is 1528655107, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Everett Wallace's specialty?
- Everett Wallace is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Everett Wallace located?
- Everett Wallace's practice location on file with NPPES is 44374 Palm St, Indio, CA 92201-3117.
- What is Everett Wallace's phone number?
- The practice phone number listed in the NPPES registry for Everett Wallace is (760) 342-6616.
- Is Everett Wallace's NPI active?
- Yes — Everett Wallace's NPI (1528655107) is active in the NPPES registry as of the last update on 2020-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.