Active NPI
Mary Walseth, M.A.
- Counselor
- Live Oak, TX
National Provider Identifier
1508196858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 63131
- Practice address
- 12059 Wilderness TRL
Live Oak, TX 78233-4238 - Phone
- (210) 452-6416
- Fax
- (210) 265-1695
- NPI assigned
- Jan 9, 2010
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 63131 | TX | Primary |
Addresses
Primary practice location
12059 Wilderness TRL
Live Oak, TX 78233-4238
Mailing address
12059 Wilderness TRL
Live Oak, TX 78233-4238
Phone (210) 452-6416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262995200000",
"number": "1508196858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12059 WILDERNESS TRL",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782334238",
"telephone_number": "210-452-6416",
"fax_number": "210-265-1695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12059 WILDERNESS TRL",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782334238",
"telephone_number": "210-452-6416",
"fax_number": "210-265-1695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSETH",
"first_name": "MARY",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-09",
"last_updated": "2010-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "63131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Live Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.