Organization Active NPI

Theracare North Dallas

  • Mental Health Counselor
  • Carrollton, TX
National Provider Identifier
1497667752
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Dr. Terra Wagner, PHD, LPC-SNPI 1467271122
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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.

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

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.

Verify at the official NPI Registry.