Individual provider Active NPI

Ahou Vaziri Line, LPC-I

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1154812188
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
79794 Issued in TX
Practice address
6803 Hillcrest Ave
Dallas, TX 75205-1308
Phone
(214) 232-2776
NPI assigned
May 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 79794 TX Primary

Addresses

Primary practice location

6803 Hillcrest Ave
Dallas, TX 75205-1308

Mailing address

6803 Hillcrest Ave
Dallas, TX 75205-1308

Other practice location 1

1033 Long Prairie Rd Ste 4
Flower Mound, TX 75022-4230
Phone (214) 285-2555

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

LicenseStateTypeSpecialty
79794TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Avl Ventures Current Accepting new patients

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": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1154812188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6803 HILLCREST AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6803 HILLCREST AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051308",
            "telephone_number": "214-232-2776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1033 Long Prairie Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750224230",
            "country_code": "US",
            "telephone_number": "214-285-2555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINE",
        "first_name": "AHOU",
        "middle_name": "VAZIRI",
        "credential": "LPC-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "79794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.