Danny Wade, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

14632 Issued in TX

Practice address

121 Rosewood Ave
Suite 2
Boerne, TX 78006-2313

Phone

(830) 249-9977

Fax

(830) 248-1245

NPI assigned

Nov 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447339882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WOODLAND CIR",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068977",
            "telephone_number": "830-846-1661",
            "fax_number": "830-248-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 ROSEWOOD AVE",
            "address_2": "SUITE 2",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062313",
            "telephone_number": "830-249-9977",
            "fax_number": "830-248-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "DANNY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-1126)

• Professional Counselor in Boerne, TX
• Providers in Boerne, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.