Individual provider Active NPI

Sandra Thomas

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1164237822
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
91177 Issued in TX
Practice address
3212 Pearl Bluff LN
Houston, TX 77047-3347
Phone
(310) 266-6364
NPI assigned
Feb 10, 2025
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 91177 TX Primary
School Psychologist 103TS0200X 70213 TX

Addresses

Primary practice location

3212 Pearl Bluff LN
Houston, TX 77047-3347

Mailing address

3212 Pearl Bluff LN
Houston, TX 77047-3347
Phone (310) 266-6364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • 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
I20250512000841 TX Practitioner - Mental Health Counselor 7517484710 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
70213TXMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mys Counseling & Assessment PLLC Professional CurrentSince Mar 7, 2025 Accepting new patients

Locations

2409 Maxwell Ln
Deer Park, TX 77536

914 FM 517 Rd W
Ste 215
Dickinson, TX 77539
Phone (281) 435-2581

2717 Commercial Center Blvd
Ste E200
Katy, TX 77494
Phone (281) 865-5433

20351 Highway 6
Ste B
Manvel, TX 77578
Phone (281) 303-1198

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1164237822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 PEARL BLUFF LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770473347",
            "telephone_number": "310-266-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 PEARL BLUFF LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770473347",
            "telephone_number": "310-266-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "91177",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "70213",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.