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Active NPI 1699490284 Individual Practitioner Male Practitioner

Wallace Sprugeon Colvin , MA

Counselor - Professional • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Wallace Colvin, MA is a registered healthcare professional specializing in Counselor - Professional in Chicago, IL. Practice services are available at 2755 N PINE GROVE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2755 N Pine Grove Ave

Chicago, IL 606146109

Telephone 3122592665
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.4 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
2437 Specialists

Practicing in Chicago, IL (9683 Statewide)

Telehealth Adoption Rate
1.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-10-06
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
Kathryn Urrutia

Marriage & Family Therapist

NPI 1043177827
Kyle Tacia , LPC

Counselor - Professional

NPI 1063027894

Licensed Professional Counselor

Abigail Cuter

Counselor - Mental Health

NPI 1063273167
Dawn Harris

Counselor

NPI 1073151098
Virginia Hogue-Denis , LCPC

Counselor - Mental Health

NPI 1073242038

Licensed Clinical Professional Counselor

Grace Hilty , MS EDU

Counselor - Mental Health

NPI 1083499347

MSEDU

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 06, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 06, 2022

Registered at 2755 N PINE GROVE AVE, CHICAGO, IL 606146109 (Tel: 3122592665)

📍
Updated Business Mailing Address October 06, 2022

Registered at 500 E 33RD ST APT 810, CHICAGO, IL 606164239

👤
Provider Name / Credentials Updated October 06, 2022

Recorded as WALLACE COLVIN, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2022

Counselor

🟢
Initial NPI Registration & Enumeration October 06, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699490284
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2022
Last Update: October 06, 2022
Sole Proprietor: Yes

Mailing Address

500 E 33rd St Apt 810

Chicago, IL 606164239

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.