Active NPI
William K Vahle, LCDC
- Addiction (Substance Use Disorder) Counselor
- Texarkana, TX
National Provider Identifier
1134722291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 10618
- Practice address
- 2435 College Dr
Texarkana, TX 75501-2788 - Phone
- (903) 831-7585
- Fax
- (903) 234-1639
- NPI assigned
- Nov 19, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10618 | TX | Primary |
Addresses
Primary practice location
2435 College Dr
Texarkana, TX 75501-2788
Mailing address
107 Woodbine PL
Longview, TX 75601-2912
Phone (903) 758-2471
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 |
|---|---|---|---|
| 10618 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1134722291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 WOODBINE PL",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756012912",
"telephone_number": "903-758-2471",
"fax_number": "903-234-1639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 COLLEGE DR",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755012788",
"telephone_number": "903-831-7585",
"fax_number": "903-234-1639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAHLE",
"first_name": "WILLIAM",
"middle_name": "K",
"credential": "LCDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-19",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "10618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.