Individual provider Active NPI

Rick A Sanders, M ED LPC LCDC

  • Professional Counselor
  • Abilene, TX
National Provider Identifier
1043320153
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13121 Issued in TX
Practice address
4601 Buffalo Gap Rd
Suite A1
Abilene, TX 79606-3361
Phone
(325) 692-1531
Fax
(325) 701-9944
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6579 TX
Professional Counselor 101YP2500X 13121 TX Primary

Addresses

Primary practice location

4601 Buffalo Gap Rd
Suite A1
Abilene, TX 79606-3361

Mailing address

4601 Buffalo Gap Rd
Suite A1
Abilene, TX 79606-3361
Phone (325) 692-1531

Other identifiers 2

IdentifierTypeStateIssuer
027984601MedicaidTX
3810LCOtherTXBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13121TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1043320153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 BUFFALO GAP RD",
            "address_2": "SUITE A1",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796063361",
            "telephone_number": "325-692-1531",
            "fax_number": "325-701-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 BUFFALO GAP RD",
            "address_2": "SUITE A1",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796063361",
            "telephone_number": "325-692-1531",
            "fax_number": "325-701-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "RICK",
        "middle_name": "A",
        "credential": "M ED LPC LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "6579",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027984601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "3810LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.