Individual provider Active NPI

Sandra Rula Khalil, LMFT

  • Mental Health Counselor
  • Wylie, TX
National Provider Identifier
1285214064
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
203375 Issued in TX
Practice address
505 Woodbridge Pkwy Ste 300
Wylie, TX 75098-7122
Phone
(214) 888-6526
NPI assigned
Apr 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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 203375 TX Primary

Addresses

Primary practice location

505 Woodbridge Pkwy Ste 300
Wylie, TX 75098-7122

Mailing address

505 Woodbridge Pkwy Ste 300
Wylie, TX 75098-7122
Phone (214) 888-6526

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 23, 2024 through Feb 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
203375TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Instilling Hope Counseling PLLC CurrentSince May 25, 2021 Accepting new patients

Locations

505 Woodbridge Pkwy
Ste 300
Wylie, TX 75098
Phone (214) 228-9907

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1285214064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 WOODBRIDGE PKWY STE 300",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750987122",
            "telephone_number": "214-888-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WOODBRIDGE PKWY STE 300",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750987122",
            "telephone_number": "214-888-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "SANDRA",
        "middle_name": "RULA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "203375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

Verify at the official NPI Registry.