NPIMap

Organization Active NPI

Dallas Therapy Collective, PLLC

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1720598576
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DALLAS THERAPY COLLECTIVE, PLLC
Practice address
8140 Walnut Hill LN
Dallas, TX 75231-4350
Phone
(479) 879-6051
Fax
(479) 879-6051
NPI assigned
Oct 6, 2017
Last updated
Oct 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Authorized official

Name
Dr. Kathryn KellerNPI 1972863561
Title
Co-Owner/Psychologist
Phone
(479) 879-6051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Psychologist 103T00000X NU
Registered Dietitian 133V00000X NU

Addresses

Primary practice location

8140 Walnut Hill LN
Dallas, TX 75231-4350

Mailing address

3340 Leahy Dr
Dallas, TX 75229-3852
Phone (479) 879-6051

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507248000000",
    "number": "1720598576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 LEAHY DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752293852",
            "telephone_number": "479-879-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 WALNUT HILL LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314350",
            "telephone_number": "479-879-6051",
            "fax_number": "479-879-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS THERAPY COLLECTIVE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2017-10-06",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CO-OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "479-879-6051",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 6, 2017; 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.