MS. MARY WALSETH (NPI# 1508196858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508196858 |
| Entity Type | Individual |
| Full Name | MS. MARY WALSETH |
| Credential | M.A. |
| Practice Address |
12059 Wilderness Trl Live Oak TX 78233-4238 |
| Practice Telephone | 2104526416 |
| Practice Fax Number | 2102651695 |
| Mailing Telephone | 2104526416 |
| Mailing Fax Number | 2102651695 |
| Enumeration Date | 2010-01-09 |
| Last Update Date | 2010-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 63131 | TX | Behavioral Health & Social Service Providers |
| Street Address |
12059 WILDERNESS TRL |
| City | LIVE OAK |
| State | TX |
| Zip Code | 78233-4238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162451 | Jennifer Chaghoury | Chore Provider | 4606 La Marquesa St, San Antonio, TX 78233 | 2020-07-27 |
| 1912515719 | Creative Health Care Management, LLC | Physical Therapist | 4415 Rio D'oro St, San Antonio, TX 78233 | 2020-07-17 |
| 1841822749 | Edilma Yosmara Medrano | Nurse's Aide | 209 Goforth Drive, San Antonio, TX 78233 | 2020-02-07 |
| 1578194411 | Jorge Javier Jaramillo De La Torre | Neurological Surgery | Cuauhtemoc 380, Col. Moderna, San Luis Potosi, SLP 78233 | 2020-01-29 |
| 1174182000 | Shenila Rajani Od Pllc | Optometrist | 12349 I-35, San Antonio, TX 78233 | 2019-06-13 |
| 1659935609 | Mff Amber Oaks LLC | Assisted Living Facility | 4415 Rio Doro St., San Antonio, TX 78233 | 2019-04-25 |
| 1457862302 | Antoinette Marie Powell | Massage Therapist | 14615 Interstate 35 N, Live Oak, TX 78233 | 2017-10-18 |
| 1154852150 | Dustin William Koenning | Pharmacist | 6019 Randolph Blvd., San Antonio, TX 78233 | 2017-03-22 |
| 1316481153 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 12602 Toepperwein Rd Ste 218, Live Oak, TX 78233 | 2016-12-13 |
| 1477096121 | Vanessa's Garden of Hope Assisted Living,llc | Assisted Living Facility | 4350 Shallow Water, San Antonio, TX 78233 | 2016-11-29 |
| Find all providers in zip 78233 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831722230 | Sandra Webster-brown | Counselor | 11901 Toepperwein Rd Ste 1202, Live Oak, TX 78233-3159 | 2020-02-14 |
| 1427413277 | John Checkett | Counselor | 8895 145th Dr, Live Oak, FL 32060-6219 | 2015-12-21 |
| 1790383990 | Brenda P Barnes-lewis | Counselor | 920 Nobles Ferry Rd, Live Oak, FL 32064-8463 | 2020-10-12 |
| 1922644079 | Lourdes Berlanga | Counselor | 920 Nobles Ferry Rd, Live Oak, FL 32064-8463 | 2019-11-25 |
| 1700420619 | Emi Lee Wainwright | Counselor | 920 Nobles Ferry Rd, Live Oak, FL 32064-8463 | 2019-11-04 |
| 1376187260 | Donna M Munhall | Counselor | 920 Nobles Ferry Rd, Live Oak, FL 32064-8463 | 2019-11-04 |
| 1114497179 | Terrica Stewart | Counselor | 920 Nobles Ferry Rd, Live Oak, FL 32064-8463 | 2018-12-03 |
| 1013498104 | Vida Barrett | Counselor | 920 Nobles Ferry Rd, Live Oak, FL 32064-8463 | 2018-08-27 |
| 1770062564 | Mary Cooper | Counselor | 920 Nobles Ferry Rd, Live Oak, FL 32064-8463 | 2018-08-13 |
| 1639677495 | Amy Lynn Mccaughan | Counselor | 920 Nobles Ferry Rd, Live Oak, FL 32064 | 2018-01-26 |
| Find all providers in LIVE OAK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.