Individual provider Active NPI

Teana Walker

  • Marriage & Family Therapist
  • Round Rock, TX
National Provider Identifier
1295097731
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201507 Issued in TX
Practice address
2201 Double Creek Dr
Round Rock, TX 78664-3836
Phone
(512) 730-9427
NPI assigned
Jun 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 66367 TX
Marriage & Family Therapist 106H00000X 201507 TX Primary
Mental Health Counselor 101YM0800X 66367 TX

Addresses

Primary practice location

2201 Double Creek Dr
Round Rock, TX 78664-3836

Mailing address

17920 Glacier Bay St
Pflugerville, TX 78660-5247
Phone (512) 730-9427

Other names 1

  • Teana Walker Former name

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
66367TXMDMental Health Counselor
201507TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blended Resources Therapy, PLLC Mental Health CurrentSince Mar 24, 2024 Accepting new patients

Locations

2201 Double Creek Dr
Round Rock, TX 78664
Phone (512) 730-9427

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1295097731",
    "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",
            "telephone_number": "512-730-9427"
        },
        {
            "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": {
        "last_name": "WALKER",
        "first_name": "TEANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66367",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201507",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "66367",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEANA",
            "last_name": "WALKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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.

Verify at the official NPI Registry.