Individual provider Active NPI

Deborah Kaye Wall, LPC

  • Professional Counselor
  • Paris, TX
National Provider Identifier
1487707311
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
81404 Issued in TX
Practice address
1849 Lamar Ave Ste 120
Paris, TX 75460-1463
Phone
(903) 715-4480
NPI assigned
Jan 22, 2007
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3499 OK
Professional Counselor 101YP2500X 81404 TX Primary

Addresses

Primary practice location

1849 Lamar Ave Ste 120
Paris, TX 75460-1463

Mailing address

1849 Lamar Ave Ste 120
Paris, TX 75460-1463

Other practice location 1

117 E Main St
Hugo, OK 74743-6237
Phone (580) 326-7477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231129003131 TX Practitioner - Mental Health Counselor 1456708353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Focus Center LLCGroup PAC ID 4587907605, 4 clinicians

Practice addresses (Care Compare)

2313 NE Loop
Suite 286
Paris, TX 75460-2807
Phone (903) 715-4480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81404TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Focus Center, LLC CurrentSince Jan 1, 2024 Accepting new patients
Wellness & Hormone Therapy Clinic PastSince Jan 1, 2024 Accepting new patients
The Healthy Hive, LLC Past Accepting new patients

Locations

1849 Lamar Ave
Ste 120
Paris, TX 75460
Phone (903) 316-6386

2313 NE Loop 286
Paris, TX 75460
Phone (903) 458-9394

3025 Lamar Ave
Paris, TX 75460
Phone (903) 458-9394

670 W Arapaho Rd
Ste 6B
Richardson, TX 75080
Phone (903) 715-4480

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1487707311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 LAMAR AVE STE 120",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754601463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 LAMAR AVE STE 120",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754601463",
            "telephone_number": "903-715-4480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 E Main St",
            "address_purpose": "LOCATION",
            "city": "Hugo",
            "state": "OK",
            "postal_code": "747436237",
            "country_code": "US",
            "telephone_number": "580-326-7477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALL",
        "first_name": "DEBORAH",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "3499",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.