Individual provider Active NPI

Sarah Elizabeth Nickolson-Kemper

  • Marriage & Family Therapist
  • Weatherford, TX
National Provider Identifier
1174238414
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
203723 Issued in TX
Practice address
165 Center Point Rd Ste 106
Weatherford, TX 76087-4935
Phone
(682) 803-0576
NPI assigned
Jan 20, 2023
Last updated
Jan 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 203723 TX Primary

Addresses

Primary practice location

165 Center Point Rd Ste 106
Weatherford, TX 76087-4935

Mailing address

505 Green Acres Rd
Weatherford, TX 76088-8240
Phone (817) 304-2132

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
I20250513003166 TX Practitioner - Marriage and Family Therapist 2264950336 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
203723TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vcounselors PLLC CurrentSince Apr 8, 2025 Accepting new patients
Alaniz Counseling and Behavioral Center, P.C. CurrentSince Apr 8, 2025 Accepting new patients

Locations

17503 La Cantera Pkwy
Ste 104
San Antonio, TX 78257
Phone (210) 564-9116

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

Organizations & group practices 2

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": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1174238414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 GREEN ACRES RD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760888240",
            "telephone_number": "817-304-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CENTER POINT RD STE 106",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760874935",
            "telephone_number": "682-803-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKOLSON-KEMPER",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.