Active NPI
Clare Louise Walters, LPC
- Mental Health Counselor
- Richardson, TX
National Provider Identifier
1477250108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 82705
- Practice address
- 2400 Lakeside Blvd Ste 115
Richardson, TX 75082-4341 - Phone
- (469) 207-1345
- NPI assigned
- Feb 13, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 82705 | TX | Primary |
Addresses
Primary practice location
2400 Lakeside Blvd Ste 115
Richardson, TX 75082-4341
Mailing address
14050 Far Hills LN
Dallas, TX 75240-3741
Phone (972) 757-0751
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 |
|---|---|---|---|
| 82705 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1477250108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14050 FAR HILLS LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752403741",
"telephone_number": "972-757-0751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 LAKESIDE BLVD STE 115",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750824341",
"telephone_number": "469-207-1345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "CLARE",
"middle_name": "LOUISE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-13",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "82705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.