Active NPI
Timothy Vassberg, M.A., LPC
- Professional Counselor
- Allen, TX
National Provider Identifier
1720407109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 69364
- Practice address
- 1506 N Greenville Ave
Suite 200
Allen, TX 75002-8622 - Phone
- (214) 676-2912
- NPI assigned
- Apr 14, 2014
- Last updated
- Apr 14, 2014
- Sex
- Male
- 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 | 69364 | TX | Primary |
Addresses
Primary practice location
1506 N Greenville Ave
Suite 200
Allen, TX 75002-8622
Mailing address
2609 W Walnut Hill LN
Apt 278
Irving, TX 75038-7332
Phone (214) 676-2912
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69364 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397433600000",
"number": "1720407109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2609 W WALNUT HILL LN",
"address_2": "APT 278",
"city": "IRVING",
"state": "TX",
"postal_code": "750387332",
"telephone_number": "214-676-2912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 N GREENVILLE AVE",
"address_2": "SUITE 200",
"city": "ALLEN",
"state": "TX",
"postal_code": "750028622",
"telephone_number": "214-676-2912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASSBERG",
"first_name": "TIMOTHY",
"credential": "M.A., LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-14",
"last_updated": "2014-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "69364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.