Active NPI
Watershed Counseling, PLLC
- Mental Health Counselor
- Bedford, TX
National Provider Identifier
1780450320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- WATERSHED COUNSELING, PLLC
- Practice address
- 1105 Bedford Rd Ste D
Bedford, TX 76022-6665 - Phone
- (682) 226-9106
- NPI assigned
- Nov 27, 2023
- Last updated
- Nov 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Alfaro Williams, LPC
- Title
- Owner
- Phone
- (682) 226-9106
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1105 Bedford Rd Ste D
Bedford, TX 76022-6665
Mailing address
PO Box 1164
Bedford, TX 76095-1164
Phone (682) 226-9106
National Provider Directory
National Provider DirectoryLocations
1105 Bedford Rd
Ste D
Bedford, TX 76022
Phone (682) 226-9106
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Professional Counselor
- Fort Worth, TX
- NPI 1730660374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1780450320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1164",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760951164",
"telephone_number": "682-226-9106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 BEDFORD RD STE D",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760226665",
"telephone_number": "682-226-9106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WATERSHED COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-26",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "ALFARO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "682-226-9106",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.