Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558544650 Individual Practitioner Male Practitioner

Wallace Benjamin Hamlin , LCPC

Counselor - Professional • Montgomery, IL

Professional Overview & Biography Verified Profile Summary

Wallace Hamlin, LCPC is a registered healthcare professional specializing in Counselor - Professional in Montgomery, IL. Practice services are available at 155 BOULDER HILL PASS under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

155 Boulder Hill Pass

Montgomery, IL 605382305

Telephone 6308443001
Fax 6308443001
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Montgomery, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Montgomery, IL (9683 Statewide)

Telehealth Adoption Rate
0.0% 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

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

3 Associated Practitioners
Robert Hamlin , LCSW

Social Worker - Clinical

NPI 1013190115

Licensed Clinical Social Worker

Charles Barr , LCSW

Social Worker - Clinical

NPI 1508120817

Licensed Clinical Social Worker

Michelle Evans , LCSW

Social Worker - Clinical

NPI 1841513801

Licensed Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 11, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 11, 2007

Registered at 155 BOULDER HILL PASS, MONTGOMERY, IL 605382305 (Tel: 6308443001)

📍
Updated Business Mailing Address December 11, 2007

Registered at 155 BOULDER HILL PASS, MONTGOMERY, IL 605382305 (Tel: 6308443001)

👤
Provider Name / Credentials Updated December 11, 2007

Recorded as WALLACE HAMLIN, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2007

Counselor

🟢
Initial NPI Registration & Enumeration December 11, 2007

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: 1558544650
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2007
Last Update: December 11, 2007
Sole Proprietor: Yes

Mailing Address

155 Boulder Hill Pass

Montgomery, IL 605382305

Phone: 6308443001

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.