Individual provider Active NPI

Deborah Rae Walach, MA, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1134424054
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63642 Issued in TX
Practice address
9258 Culebra Rd
Suite 103-3
San Antonio, TX 78251-2871
Phone
(888) 760-3390
Fax
(888) 760-3390
NPI assigned
Jan 25, 2011
Last updated
Mar 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 63642 TX Primary

Addresses

Primary practice location

9258 Culebra Rd
Suite 103-3
San Antonio, TX 78251-2871

Mailing address

5203 Savannah CT
Von Ormy, TX 78073-3002
Phone (910) 526-6237

Other names 1

  • Ms. Deborah Rae Yelle Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
63642TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: deborahwalach@tdh.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1134424054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 SAVANNAH CT",
            "city": "VON ORMY",
            "state": "TX",
            "postal_code": "780733002",
            "telephone_number": "910-526-6237",
            "fax_number": "210-624-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9258 CULEBRA RD",
            "address_2": "SUITE 103-3",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512871",
            "telephone_number": "888-760-3390",
            "fax_number": "888-760-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALACH",
        "first_name": "DEBORAH",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-25",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "YELLE",
            "middle_name": "RAE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.