Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639047343 Individual Practitioner Male Practitioner

Darryl John Wallace , CSC-AD

Counselor • Baltimore, MD

Professional Overview & Biography Verified Profile Summary

Darryl Wallace, CSC-AD is a registered healthcare professional specializing in Counselor in Baltimore, MD. Practice services are available at 5900 YORK RD STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5900 York Rd Ste 201

Baltimore, MD 212123097

Telephone 4435631021
Fax 4438693749
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Baltimore, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.6 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
148 Specialists

Practicing in Baltimore, MD (1047 Statewide)

Telehealth Adoption Rate
2.0% 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

CMS Verified: 2025-10-24
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License MD SC3481

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

3 Associated Practitioners
Ronald Williams

Counselor - Addiction (Substance Use Disorder)

NPI 1114896016
Trisha Kelly

Counselor

NPI 1326916081
Iris Fortune , LCSWC

Social Worker - Clinical

NPI 1376115733

Licensed Clinical Social Worker - Certified

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 24, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2025

Registered at 5900 YORK RD STE 201, BALTIMORE, MD 212123097 (Tel: 4435631021)

📍
Updated Business Mailing Address October 24, 2025

Registered at 5900 YORK RD STE 201, BALTIMORE, MD 212123097

👤
Provider Name / Credentials Updated October 24, 2025

Recorded as DARRYL WALLACE, CSC-AD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2025

Counselor (License #SC3481 in MD)

🟢
Initial NPI Registration & Enumeration October 24, 2025

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: 1639047343
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2025
Last Update: October 24, 2025
Sole Proprietor: Yes

Mailing Address

5900 York Rd Ste 201

Baltimore, MD 212123097

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.