Organization Active NPI

Whole Wellness, PLLC

  • Mental Health Counselor
  • Stafford, TX
National Provider Identifier
1972873230
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
64964 Issued in TX
Legal business name
WHOLE WELLNESS, PLLC
Practice address
10701 Corporate Dr
Suite 393
Stafford, TX 77477-4096
Phone
(281) 940-8745
NPI assigned
Jan 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Paula Vandyke, LMFT LPC
Title
Licensed Therapist/Counselor
Phone
(281) 940-8745

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 64964 TX Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 201285 TX

Addresses

Primary practice location

10701 Corporate Dr
Suite 393
Stafford, TX 77477-4096

Mailing address

10701 Corporate Dr
Suite 393
Stafford, TX 77477-4096
Phone (281) 940-8745

Other names 1

  • Paula VanDyke, MA, LMFT, LPC Other name

National Provider Directory

National Provider Directory

Locations

10701 Corporate Dr
Ste 393
Stafford, TX 77477
Phone (281) 940-8745

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1972873230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 CORPORATE DR",
            "address_2": "SUITE 393",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774096",
            "telephone_number": "281-940-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 CORPORATE DR",
            "address_2": "SUITE 393",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774096",
            "telephone_number": "281-940-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "VANDYKE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "LICENSED THERAPIST/COUNSELOR",
        "authorized_official_telephone_number": "281-940-8745",
        "authorized_official_credential": "LMFT LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "64964",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paula VanDyke, MA, LMFT, LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.