Louann C. Wallis, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

15933 Issued in TX

Practice address

468 S Seguin Ave
Ste. 401
New Braunfels, TX 78130-7664

Phone

(830) 822-5054

Fax

(830) 629-9700

NPI assigned

Jun 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lou Ann Wallis, LPC, PC

  • Mental Health Counselor
  • New Braunfels, TX
  • NPI 1568592533
  NPD (past) Authorized official

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508894783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 S SEGUIN AVE",
            "address_2": "STE. 401",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307664",
            "telephone_number": "830-822-5054",
            "fax_number": "830-629-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 S SEGUIN AVE",
            "address_2": "STE. 401",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307664",
            "telephone_number": "830-822-5054",
            "fax_number": "830-629-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIS",
        "first_name": "LOUANN",
        "middle_name": "C.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "5096LC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "1167146",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "232854",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "239642",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHS# VALUE OPTIONS",
            "identifier": "506801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY FIRST HEALTH PL",
            "identifier": "12471",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• Caroline Harrison Waligura
• Jennifer Lauren Walker, FNP-C
• Sarah Wallace, AUD
• Haiying Wang
• Allison Tory Wantuck
• Ashley Nicole Ward, MSN, APRN, FNP-C
• Marshall K. Warren, D.D.S.
• Marshall Logan Warren, DO

• All providers in New Braunfels, TX
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.