Individual provider Active NPI

Sharlene M. Tandy, LPC

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1174368385
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
89187 Issued in TX
Practice address
9565 Diana Dr
El Paso, TX 79924-6951
Phone
(915) 887-3410
NPI assigned
Jun 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 89187 TX Primary

Addresses

Primary practice location

9565 Diana Dr
El Paso, TX 79924-6951

Mailing address

201 E Main Dr Ste 600
El Paso, TX 79901-1385
Phone (915) 887-3410

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
I20240731004797 TX Practitioner - Mental Health Counselor 7315484946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Community MHMRGroup PAC ID 3476532383, 54 clinicians

Practice addresses (Care Compare)

10737 Gateway Blvd W
Suite 350
El Paso, TX 79935-4900
Phone (915) 887-3410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89187TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Community MHMR Current Accepting new patients
El Paso Community MHMR CurrentSince Jul 20, 2024 Accepting new patients
El Paso Community MHMR CurrentSince Jul 20, 2024 Accepting new patients

Locations

1551 Montana Ave
El Paso, TX 79902
Phone (915) 747-3510

9565 Diana Dr
El Paso, TX 79924
Phone (915) 747-3590

201 E Main Dr
Ste 600
El Paso, TX 79901
Phone (915) 887-3419

2400 Trawood Dr
Ste 301
El Paso, TX 79936
Phone (915) 599-6735

1601 E Yandell Dr
El Paso, TX 79902
Phone (915) 599-4900

10737 Gateway Blvd W
Ste 350
El Paso, TX 79935

8500 Boeing Dr
El Paso, TX 79925
Phone (915) 242-0555

1477 Lomaland Dr
Ste E7
El Paso, TX 79935
Phone (915) 599-6690

1600 Montana Ave
El Paso, TX 79902
Phone (915) 877-3410

8730 Boeing Dr
El Paso, TX 79925
Phone (915) 599-6600

10737 Gateway Blvd W
Ste 250
El Paso, TX 79935
Phone (915) 319-9488

725 S Mesa Hills Dr
Bldg 1
El Paso, TX 79912
Phone (915) 228-8128

Organizations & group practices 3

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": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1174368385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E MAIN DR STE 600",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799011385",
            "telephone_number": "915-887-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9565 DIANA DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799246951",
            "telephone_number": "915-887-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANDY",
        "first_name": "SHARLENE",
        "middle_name": "M.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "89187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.