IndividualActive
Patrick Wallace
NPI 1811853112 · Mental Health Counselor · Maple Grove, MN
Patrick Wallace is a Mental Health Counselor provider in Maple Grove, MN (NPI 1811853112).
Provider details
- NPI number
- 1811853112
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% 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
13603 80th Cir N
Maple Grove, MN 55369-8961
Phone: (763) 274-3120
Fax: (763) 274-3121
Approximate (ZIP-level) locationGet directions
Mailing address
909 Gould Ave Ne Apt 329
Columbia Heights, MN 55421-4718
Registry dates
- Enumerated
- 2025-12-30
- Last updated
- 2025-12-30
- Certified
- 2025-12-30
Frequently asked questions
- What is Patrick Wallace's NPI number?
- Patrick Wallace's National Provider Identifier (NPI) is 1811853112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Patrick Wallace's specialty?
- Patrick Wallace is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Patrick Wallace located?
- Patrick Wallace's practice location on file with NPPES is 13603 80th Cir N, Maple Grove, MN 55369-8961.
- What is Patrick Wallace's phone number?
- The practice phone number listed in the NPPES registry for Patrick Wallace is (763) 274-3120.
- Is Patrick Wallace's NPI active?
- Yes — Patrick Wallace's NPI (1811853112) is active in the NPPES registry as of the last update on 2025-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.