Individual provider Active NPI

Dana Michelle Sloan, MA, LPC

  • Mental Health Counselor
  • Amarillo, TX
National Provider Identifier
1114781978
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
86528 Issued in TX
Practice address
121 Westgate Pkwy Ste 40
Amarillo, TX 79121-1113
Phone
(806) 351-7150
Fax
(806) 351-7155
NPI assigned
Feb 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 86528 TX Primary

Addresses

Primary practice location

121 Westgate Pkwy Ste 40
Amarillo, TX 79121-1113

Mailing address

51 Southridge Dr
Canyon, TX 79015-2003
Phone (806) 420-0709

Other practice location 1

51 Southridge Dr
Canyon, TX 79015-2003
Phone (806) 465-9649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240304001746 TX Practitioner - Mental Health Counselor 1456796184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
86528TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Texas Healthcare System Inc CurrentSince Feb 12, 2024 Accepting new patients

Locations

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

1000 Craig Dr
Amarillo, TX 79106
Phone (806) 212-6649

121 Westgate Pkwy
Ste 40
Amarillo, TX 79121
Phone (806) 351-7150

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1114781978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SOUTHRIDGE DR",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790152003",
            "telephone_number": "806-420-0709",
            "fax_number": "806-351-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WESTGATE PKWY STE 40",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211113",
            "telephone_number": "806-351-7150",
            "fax_number": "806-351-7155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Southridge Dr",
            "address_purpose": "LOCATION",
            "city": "Canyon",
            "state": "TX",
            "postal_code": "790152003",
            "country_code": "US",
            "telephone_number": "806-465-9649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "DANA",
        "middle_name": "MICHELLE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "86528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.