Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013064328 Individual Practitioner Male Practitioner

Dr. Byron Waller , PhD

Counselor - Professional • Plainfield, IL

Professional Overview & Biography Verified Profile Summary

Dr. Byron Waller, PhD is a registered healthcare professional specializing in Counselor - Professional in Plainfield, IL. Practice services are available at 12653 S POTOMAC DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12653 S Potomac Dr

Plainfield, IL 605859620

Telephone 3122188483
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Plainfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
89 Specialists

Practicing in Plainfield, IL (9683 Statewide)

Telehealth Adoption Rate
5.6% 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: 2024-05-08
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180005749

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License IL 180005749

Definition to come...

Counselor

NUCC Taxonomy Code: 101Y00000X

State License IL 180005749

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Teresea Bargewell , LPC, MA

Counselor - Professional

NPI 1912319146

Licensed Professional Counselor, Master of Arts

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 08, 2024

Registered at 12653 S POTOMAC DR, PLAINFIELD, IL 605859620 (Tel: 3122188483)

📍
Updated Business Mailing Address May 08, 2024

Registered at 12653 S POTOMAC DR, PLAINFIELD, IL 605859620 (Tel: 3122188483)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2024

Counselor (License #180005749 in IL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 401 E 162ND ST, SUITE 109, SOUTH HOLLAND, IL 604732236 (Tel: 7083392769)

📍
Updated Business Mailing Address July 08, 2007

Registered at 25140 SPRING ST, MANHATTAN, IL 604421403 (Tel: 8154789648)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BYRON WALLER, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor

🟢
Initial NPI Registration & Enumeration January 05, 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: 1013064328
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2007
Last Update: May 08, 2024
Sole Proprietor: No

Mailing Address

12653 S Potomac Dr

Plainfield, IL 605859620

Phone: 3122188483

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.