Individual provider Active NPI

Sarah Colliflower, LPC

  • Professional Counselor
  • Plano, TX
National Provider Identifier
1184366221
Registry record updated Apr 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
6306 Windcrest Dr Apt 2133
Plano, TX 75024-3029
Phone
(713) 253-1131
NPI assigned
Apr 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

6306 Windcrest Dr Apt 2133
Plano, TX 75024-3029

Mailing address

4757 W Park Blvd #157
Ste 113
Plano, TX 75093

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://zoom.us/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 13, 2024 through Feb 13, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
80147TXMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1649462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649462400000",
    "number": "1184366221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4757 W PARK BLVD #157",
            "address_2": "STE 113",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6306 WINDCREST DR APT 2133",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243029",
            "telephone_number": "713-253-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIFLOWER",
        "first_name": "SARAH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-09",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://zoom.us/",
            "affiliation": "N",
            "endpointDescription": "Zoom Secure Video",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6306 Windcrest Dr Apt 2133",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750243029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.