Active NPI
Lauren Kate Waltz, LPC
- Mental Health Counselor
- Southlake, TX
National Provider Identifier
1114671583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 87966
- Practice address
- 2212 Still Water CT
Southlake, TX 76092-5559 - Phone
- (817) 301-2261
- NPI assigned
- Feb 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 87966 | TX | Primary |
Addresses
Primary practice location
2212 Still Water CT
Southlake, TX 76092-5559
Mailing address
2212 Still Water CT
Southlake, TX 76092-5559
Phone (817) 301-2261
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87966 | Other | TX | LICENSED PROFESSIONAL COUNSELOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87966 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1114671583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2212 STILL WATER CT",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760925559",
"telephone_number": "817-301-2261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2212 STILL WATER CT",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760925559",
"telephone_number": "817-301-2261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTZ",
"first_name": "LAUREN",
"middle_name": "KATE",
"name_prefix": "Miss",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-04",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "87966",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR",
"identifier": "87966",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.