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

Madison Wallace, LPCC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205378031

Madison Wallace, LPCC is a Student in an Organized Health Care Education/Training Program in Lexington, Kentucky. Licensed in Kentucky. Registered with an NPI since 2016.

Licensed in
KY
In the registry since
2016
Specialties on file
2
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

450 Old Vine St Ste 305
Lexington, KY 40507-1544
Phone: (859) 667-4301
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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 260537 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205378031
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorNo
NPI enumeratedNovember 10, 2016
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024
Mailing address1351 Newtown Pike, Building 5, Lexington, KY 40511-1275

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