Organization Active NPI

Desert Sky Family Therapy LLC

  • Mental Health Counselor
  • Lubbock, TX
National Provider Identifier
1013761055
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DESERT SKY FAMILY THERAPY LLC
Practice address
5504 Wayne Ave Ste 109
Lubbock, TX 79414-4137
Phone
(806) 853-7292
NPI assigned
Apr 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Mrs. Anna Brown
Title
Clinic Director
Phone
(806) 853-7292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5504 Wayne Ave Ste 109
Lubbock, TX 79414-4137

Mailing address

5504 Wayne Ave Ste 109
Lubbock, TX 79414-4137
Phone (806) 853-7292

National Provider Directory

National Provider Directory

Locations

5504 Wayne Ave
Ste 109
Lubbock, TX 79414
Phone (806) 853-7292

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1013761055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 WAYNE AVE STE 109",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144137",
            "telephone_number": "806-853-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 WAYNE AVE STE 109",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144137",
            "telephone_number": "806-853-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SKY FAMILY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "806-853-7292",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.