Active NPI
Deshae Waller
- Mental Health Counselor
- Castle Rock, CO
National Provider Identifier
1285505800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPCC.0024086
- Practice address
- 599 Topeka Way Ste 308
Castle Rock, CO 80109-3132 - Phone
- (720) 507-7734
- NPI assigned
- Sep 16, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPCC.0024086 | CO | Primary |
Addresses
Primary practice location
599 Topeka Way Ste 308
Castle Rock, CO 80109-3132
Mailing address
599 Topeka Way Ste 308
Castle Rock, CO 80109-3132
Phone (720) 507-7734
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 |
|---|---|---|---|
| LPCC.0024086 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1285505800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "599 TOPEKA WAY STE 308",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801093132",
"telephone_number": "720-507-7734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "599 TOPEKA WAY STE 308",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801093132",
"telephone_number": "720-507-7734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLER",
"first_name": "DESHAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-16",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPCC.0024086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.