Willow Creek Counseling PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WILLOW CREEK COUNSELING PLLC

Practice address

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

Phone

(682) 207-8283

NPI assigned

Jun 26, 2024

Organization subpart

No

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

Authorized official

Name

Tasha Devereaux, LPCNPI 1861042343

Title

Licensed Professional Counselor

Phone

(940) 600-3331

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tasha Devereaux, MA, LPC

  • Professional Counselor
  • Keller, TX
  • NPI 1861042343
  NPD Authorized official

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1942045489",
    "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"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "WILLOW CREEK COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "DEVEREAUX",
        "authorized_official_first_name": "TASHA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "940-600-3331",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy (Carolyn) Williams, LPC
• Lori Williams
• Mackenzie Williams
• Tanatreon Williams, LMSW
• Briauna Williamson, RBT
• Alexys Shyanne Wilson-Walker
• Jacqueline Wilson, FNP
• Meagan Wilson, MS. SLP CCC
• Melissa Ann Wilson, APRN, FNP-C
• Tionne Wilson

• Mental Health Counselor in Keller, TX
• Providers in Keller, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.