Active NPI
Tikisha Walwyn-Duquesnay
- Professional Counselor
- Bee Cave, TX
National Provider Identifier
1053703322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 67100
- Practice address
- 12531 W Hwy 71
P3007
Bee Cave, TX 78738-6640 - Phone
- (713) 979-6746
- NPI assigned
- Feb 24, 2015
- Last updated
- Nov 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 67100 | TX | Primary |
Addresses
Primary practice location
12531 W Hwy 71
P3007
Bee Cave, TX 78738-6640
Mailing address
6671 Southwest Freeway Houston
Suite 700
Houston, TX 77074
Phone (832) 617-0338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7877 Willow Chase Blvd
Houston, TX 77070-5934
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67100 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Confidant Texas PA | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Houston, TX
- NPI 1558118026
-
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
- NPI 1578282554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1053703322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6671 SOUTHWEST FREEWAY HOUSTON",
"address_2": "SUITE 700",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77074",
"telephone_number": "832-617-0338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12531 W HWY 71",
"address_2": "P3007",
"city": "BEE CAVE",
"state": "TX",
"postal_code": "787386640",
"telephone_number": "713-979-6746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALWYN-DUQUESNAY",
"first_name": "TIKISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-24",
"last_updated": "2024-11-15",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "67100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bee Cave, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.