Valhalla Wellness

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

VALHALLA WELLNESS

Practice address

8551 Boat Club Rd
Fort Worth, TX 76179-3638

Phone

(682) 708-3460

Fax

(682) 708-3121

NPI assigned

Dec 2, 2019

Last updated

Dec 2, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teresa Johnson

Title

Owner/LPC

Phone

(682) 708-3460

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Valhalla Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Valhalla Wellness

  • Professional Counselor
  • Fort Worth, TX
  • NPI 1659837409
  NPD tax ID

Locations

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1144867821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8551 BOAT CLUB RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761793638",
            "telephone_number": "682-708-3460",
            "fax_number": "682-708-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8551 BOAT CLUB RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761793638",
            "telephone_number": "682-708-3460",
            "fax_number": "682-708-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALHALLA WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "682-708-3460"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194244525",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@tjohnsoncounseling.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fort Worth",
            "address_1": "8551 Boat Club Rd",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761793638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eder Valenzuela
• Victor Teodoro Valenzuela
• Yolanda Valenzuela, PHD
• Miranda Valera, CRNA
• Nicole Valetutto, FNP-C
• Valhalla Wellness
• Valiant Life Medical PLLC
• Ismael Valladares
• Kelly L Vallance, MD, MPH
• James Homer Vallaster, APRN FNP-BC

• Mental Health Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.