Active NPI
Lois Vaillancourt, LPC-S
- Professional Counselor
- Dallas, TX
National Provider Identifier
1679832687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18928
- Practice address
- 5805 Sandhurst LN
Ste. a
Dallas, TX 75206-4925 - Phone
- (214) 991-6280
- NPI assigned
- May 10, 2012
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 18928 | TX | Primary |
Addresses
Primary practice location
5805 Sandhurst LN
Ste. a
Dallas, TX 75206-4925
Mailing address
5805 Sandhurst LN
Ste. a
Dallas, TX 75206-4925
Phone (214) 991-6280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18928 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336608000000",
"number": "1679832687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5805 SANDHURST LN",
"address_2": "STE. A",
"city": "DALLAS",
"state": "TX",
"postal_code": "752064925",
"telephone_number": "214-991-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5805 SANDHURST LN",
"address_2": "STE. A",
"city": "DALLAS",
"state": "TX",
"postal_code": "752064925",
"telephone_number": "214-991-6280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAILLANCOURT",
"first_name": "LOIS",
"credential": "LPC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-10",
"last_updated": "2012-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "18928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.