Active NPI
Deborah Lee Wade, PHD
- Counseling Psychologist
- Carrollton, TX
National Provider Identifier
1487719696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 4526
- Practice address
- 2625 N Josey LN
Suite 250
Carrollton, TX 75007-5543 - Phone
- (972) 466-2800
- Fax
- (972) 444-2810
- NPI assigned
- Dec 27, 2006
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 4526 | TX | Primary |
Addresses
Primary practice location
2625 N Josey LN
Suite 250
Carrollton, TX 75007-5543
Mailing address
2625 N Josey LN
Suite 250
Carrollton, TX 75007-5538
Phone (972) 466-2800
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4526 | TX | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeworks Counseling Center PLLC | 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.
-
- Mental Health Counselor
- Dallas, TX
- NPI 1376684126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487719696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 N JOSEY LN",
"address_2": "SUITE 250",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750075538",
"telephone_number": "972-466-2800",
"fax_number": "972-444-2810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 N JOSEY LN",
"address_2": "SUITE 250",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750075543",
"telephone_number": "972-466-2800",
"fax_number": "972-444-2810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "DEBORAH",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "4526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- 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.