Ryan Casey Waller

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

203628 Issued in TX

Practice address

4514 Cole Ave Ste 200
Dallas, TX 75205-4153

Phone

(817) 586-8537

NPI assigned

Mar 27, 2023

Last updated

Oct 1, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1598468597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 COLE AVE STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752054153",
            "telephone_number": "817-586-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 COLE AVE STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752054153",
            "telephone_number": "817-586-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLER",
        "first_name": "RYAN",
        "middle_name": "CASEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-27",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Wallach, MS CCC-SLP
• David A Waller, MD
• Diane Waller, RKT
• Kaylee Waller, CRNA
• Marcela Waller, CRNA
• Shawn Jillian Waller, PA
• Skylar Wallets
• Peter Walling, M.D.
• Amber C Walls, NP
• Lazane Sherilyn Walls, LPC

• Marriage & Family Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.