Individual Healthcare Provider
Kathi Wallace, L.C.P.C.
Provider's NPPES record last updated: February 2, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1114319092
- Primary Specialty
- Counselor — Professional
- Practice Location
- Maryville, Illinois
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 12:14 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Counselor
Professional
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YP2500X
Provider-Reported License Information
- Counselor (Illinois)
- 180.009256
- Counselor (Missouri)
- 2013036985
- Counselor (Illinois)
- IL#180.009256
Practice Locations
Practice Location
5 Schiber Ct Ste D
Maryville, Illinois 62062-5606
Phone: (314) 626-4285
Additional Practice Location
301 Sovereign Ct Ste 211
Ballwin, Missouri 63011-4435
Phone: (314) 626-4285
Record Information
- Enumeration Date
- March 2, 2015
- Provider's NPPES Record Last Updated
- February 2, 2022
- Certification Date
- February 2, 2022
- NPISignal NPPES Dataset
- August 2026
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