Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Byron Waller, PHD

Individual provider Mental Health Counselor · NPI 1013064328

Dr. Byron Waller, PHD is a Mental Health Counselor in Plainfield, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

12653 S Potomac Dr
Plainfield, IL 60585-9620
Phone: (312) 218-8483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180005749 (IL)
Mental Health Counselor Taxonomy 101YM0800X · Licence 180005749 (IL)
Counselor Taxonomy 101Y00000X · Licence 180005749 (IL)

Record details

NPI number1013064328
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 5, 2007
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024
Mailing address12653 S Potomac Dr, Plainfield, IL 60585-9620

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