Active NPI
Blended Resources Therapy, PLLC
- Marriage & Family Therapist
- Round Rock, TX
National Provider Identifier
1144080797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- BLENDED RESOURCES THERAPY, PLLC
- Practice address
- 2201 Double Creek Dr
Round Rock, TX 78664-3836 - Phone
- (512) 730-9427
- NPI assigned
- Mar 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teana Walker
- Title
- Owner
- Phone
- (512) 730-9427
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
2201 Double Creek Dr
Round Rock, TX 78664-3836
Mailing address
17920 Glacier Bay St
Pflugerville, TX 78660-5247
Other names 1
- Teana Waler
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710892800000",
"number": "1144080797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17920 GLACIER BAY ST",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786605247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 DOUBLE CREEK DR",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786643836",
"telephone_number": "512-730-9427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLENDED RESOURCES THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-20",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "TEANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-730-9427"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Teana Waler",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.