Active NPI
Lauren Wallach
- Professional Counselor
- Lewisville, TX
National Provider Identifier
1467682641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16374
- Practice address
- 896 N Mill St
Lewisville, TX 75057-3112 - Phone
- (866) 943-7779
- Fax
- (214) 260-9888
- NPI assigned
- Jul 21, 2009
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 16374 | TX | Primary |
Addresses
Primary practice location
896 N Mill St
Lewisville, TX 75057-3112
Mailing address
896 N Mill St
Lewisville, TX 75057-3112
Phone (866) 943-7779
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 |
|---|---|---|---|
| 16374 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248134400000",
"number": "1467682641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "896 N MILL ST",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750573112",
"telephone_number": "866-943-7779",
"fax_number": "214-260-9888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "896 N MILL ST",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750573112",
"telephone_number": "866-943-7779",
"fax_number": "214-260-9888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLACH",
"first_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-21",
"last_updated": "2009-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "16374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.