Active NPI
Lazane Sherilyn Walls, LPC
- Mental Health Counselor
- Dallas, TX
National Provider Identifier
1386830255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 15910
- Practice address
- 3330 S Lancaster Rd
Dallas, TX 75216-4531 - Phone
- (214) 371-6639
- Fax
- (214) 372-6199
- NPI assigned
- Sep 24, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 8802 | TX | |
| Mental Health Counselor | 101YM0800X | 15910 | TX | Primary |
Addresses
Primary practice location
3330 S Lancaster Rd
Dallas, TX 75216-4531
Mailing address
1380 River Bend Dr
Dallas, TX 75247-4914
Phone (214) 743-6159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386830255 | Medicaid | TX |
Other names 1
- Mrs. Lazane Sherilyn Walls
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 |
|---|---|---|---|
| 15910 | TX | MD | Chiropractor |
| 8802 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Horizon Counseling Center, LLC | Mental Health | Past | 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 and National Provider Directory roles.
-
- Professional Counselor
- River Oaks, TX
- NPI 1578863601
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1386830255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 RIVER BEND DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474914",
"telephone_number": "214-743-6159",
"fax_number": "214-689-6482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 S LANCASTER RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752164531",
"telephone_number": "214-371-6639",
"fax_number": "214-372-6199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLS",
"first_name": "LAZANE",
"middle_name": "SHERILYN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-24",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "8802",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "15910",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386830255",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAZANE",
"last_name": "WALLS",
"middle_name": "SHERILYN",
"prefix": "MRS.",
"credential": "LCDC",
"code": "2",
"type": "Professional Name"
}
]
}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 Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.