Active NPI
Theracare North Dallas
- Mental Health Counselor
- Carrollton, TX
National Provider Identifier
1497667752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- THERACARE NORTH DALLAS
- Practice address
- 4425 Plano Pkwy Ste 1203
Carrollton, TX 75010-5034 - Phone
- (682) 253-2510
- NPI assigned
- Sep 21, 2026
- Last updated
- Sep 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Terra Wagner, PHD, LPC-S
- Title
- Owner
- Phone
- (979) 224-0310
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4425 Plano Pkwy Ste 1203
Carrollton, TX 75010-5034
Mailing address
4425 Plano Pkwy Ste 1203
Carrollton, TX 75010-5034
Phone (682) 253-2510
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Irving, TX
- NPI 1467271122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789948800000",
"number": "1497667752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 PLANO PKWY STE 1203",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750105034",
"telephone_number": "682-253-2510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 PLANO PKWY STE 1203",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750105034",
"telephone_number": "682-253-2510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERACARE NORTH DALLAS",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A",
"authorized_official_last_name": "WAGNER",
"authorized_official_first_name": "TERRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "979-224-0310",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, LPC-S"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
- The Family Counseling Place (Family Counseling Place)
- The Palace Residential Home Care
- The Safe Haven Behavioral Health
- Jennifer Theis, PT
- Thera Peds PLLC
- Therapy & Beyond Medical Management, LLC
- Therapy & Beyond of North Texas
- Theta Care PLLC
- Amy Evan Thimesch, PA-C
- Thinkspot Therapy and Training, PLLC. (ThinkSpot)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.