Tasha Devereaux, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

77326 Issued in TX

Practice address

200 N Rufe Snow Dr Ste 118
Keller, TX 76248-4239

Phone

(682) 207-8283

NPI assigned

Sep 16, 2019

Last updated

Mar 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Willow Creek Counseling PLLC

  • Mental Health Counselor
  • Keller, TX
  • NPI 1942045489
  NPD Authorized official

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1861042343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 HIGHLAND LAKES DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483285",
            "telephone_number": "682-207-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N RUFE SNOW DR STE 118",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762484239",
            "telephone_number": "682-207-8283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Pecan St",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762482215",
            "country_code": "US",
            "telephone_number": "940-600-3331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVEREAUX",
        "first_name": "TASHA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dentistry for Life, PA
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• Devang Patel DDS PLLC
• Aileen Devereaux, LCSW
• Jason Devoe
• Diagnostic Center of Texas
• Jasmine Marie Diaz
• Audrey Diane Dillman, OM
• Mikayla Dineishia Dillon

• Professional Counselor in Keller, TX
• Providers in Keller, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.