Individual provider Active NPI

Sandra Lynne Dunnuck, LPC-S, PSOTP

  • Mental Health Counselor
  • The Woodlands, TX
National Provider Identifier
1154621944
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
20118 Issued in TX
Practice address
13 Green Field PL
The Woodlands, TX 77380-3929
Phone
(281) 793-1452
Fax
(936) 538-3278
NPI assigned
Oct 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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 20118 TX Primary

Addresses

Primary practice location

13 Green Field PL
The Woodlands, TX 77380-3929

Mailing address

13 Green Field PL
The Woodlands, TX 77380-3929
Phone (281) 793-1452

Other identifiers 1

IdentifierTypeStateIssuer
20118OtherTXLPC-S LICENSE #

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
20118TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1154621944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 GREEN FIELD PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803929",
            "telephone_number": "281-793-1452",
            "fax_number": "936-538-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 GREEN FIELD PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803929",
            "telephone_number": "281-793-1452",
            "fax_number": "936-538-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNNUCK",
        "first_name": "SANDRA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "LPC-S, PSOTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "20118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC-S LICENSE #",
            "identifier": "20118",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.