ROBERT WALLIS (NPI# 1255782439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255782439 |
| Entity Type | Individual |
| Full Name | ROBERT WALLIS |
| Credential | LCDC |
| Practice Address |
8792 County Road 135 Kaufman TX 75142-5872 |
| Practice Telephone | 2142440953 |
| Mailing Telephone | 2142440953 |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
12295 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154555738 | Robert Steven Wallis | Internal Medicine | 55 Saunders Hollow Rd, Old Lyme, CT 06371-1127 | 2009-05-11 |
| 1295854974 | Robert Randolph Wallis | Family Medicine | 547 Lupin St, Bellaire, TX 77401-5023 | 2007-03-27 |
| Street Address |
8792 COUNTY ROAD 135 |
| City | KAUFMAN |
| State | TX |
| Zip Code | 75142-5872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104276781 | Maria Wallis | Counselor | 8792 County Road 135, Kaufman, TX 75142-5872 | 2016-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301996 | Interventional Partners LLC | Podiatrist | 874 W. Highway 243, Ste. 110, Kaufman, TX 75142 | 2019-11-20 |
| 1447731369 | Misty Dawn Wainright | Occupational Therapy Assistant | 1803 Tx 243, Kaufman, TX 75142 | 2018-08-28 |
| 1003286907 | Heather Marie Jones | Occupational Therapy Assistant | 2700 Commerce Way Suite 100, Suite 100, Kaufman, TX 75142 | 2015-10-05 |
| 1598140519 | Gruenepointe 1 Kaufman, LLC | Skilled Nursing Facility | 1803 Hwy. 243 Est, Kaufman, TX 75142 | 2015-07-21 |
| 1235526583 | Texas Dentistry | Dentist | 100 East Kings Fort Parkway, Ste# 100, Kaufman, TX 75142 | 2015-04-23 |
| 1407189517 | Window To The Body | Dentist | 850 W Hwy 243, Kaufman, TX 75142 | 2009-09-09 |
| 1851527667 | Ashley Stewart | Speech-Language Pathologist | 1701 South Washignton Suite C, Kaufman, TX 75142 | 2009-06-08 |
| 1881862779 | Nancy Carol Cook | Obstetrics & Gynecology | 874 Hwy 243 W, Suite 115 Dr Angelina Rivero, Kaufman, TX 75142 | 2008-02-14 |
| 1346448263 | Mcmahon's Foundation Christian Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4883 County Road 4101, Kaufman, TX 75142 | 2007-07-03 |
| 1427112218 | Misty M Fairchild | Occupational Therapist | 2700 Commerce Way Ste 100, Kaufman, TX 75142 | 2006-12-19 |
| Find all providers in zip 75142 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881655 | Frances Charline Lee Cole | Counselor | 6238 Raymond Rd, Kaufman, TX 75142-7624 | 2020-11-06 |
| 1104276781 | Maria Wallis | Counselor | 8792 County Road 135, Kaufman, TX 75142-5872 | 2016-06-15 |
| 1013302009 | Keyna Lee | Counselor | 1111 Royal Dr, Kaufman, TX 75142-3511 | 2015-04-06 |
| 1912914110 | Sherry Paulette Rust | Counselor | 101 N Jackson St, Kaufman, TX 75142-1938 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013985 | Kyle Allan Mccall | Counselor | 5015 S Ih 35 Frontage Rd, Suite 200, Austin, TX 78744 | 2020-11-06 |
| 1639770969 | Fadya Therapy Pllc | Counselor | 1452 Wild Basin Ldg, Austin, TX 78746-2700 | 2020-11-03 |
| 1679173728 | Darlene Kearney | Counselor | 2626 S Loop W Ste 174, Houston, TX 77054-2873 | 2020-10-28 |
| 1346849148 | Priscilla Rosas | Counselor | 8431 Chivalry St, San Antonio, TX 78254 | 2020-10-22 |
| 1649879586 | Nicole Trevino | Counselor | 12631 E Clark Rd, La Feria, TX 78559-4528 | 2020-10-21 |
| 1144829060 | Reffitt Counseling, Pllc | Counselor | 301 S Rogers St Ste 106, Waxahachie, TX 75165-3682 | 2020-10-21 |
| 1548868664 | Michelle Villarreal | Counselor | 4720 Box Canyon Dr, Temple, TX 76502-7311 | 2020-10-12 |
| 1275131559 | Debbie Jo Stuard | Counselor | Debbie Stuard Lcdc/ma, 255 Airtex, Houston, TX 77090-7753 | 2020-10-09 |
| 1558968289 | Alexandra Glenn | Counselor | 3310 Louisiana St Apt 2304, Houston, TX 77006-6637 | 2020-10-06 |
| 1902403744 | Phadria Enrika Reed | Counselor | 451 Wilson Creek Blvd Apt 1217, Mckinney, TX 75069-6462 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
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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.