Marla Sanderson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT203476 Issued in TX

Practice address

9501 N Capital of Texas Hwy Ste 201
Austin, TX 78759-7250

Phone

(512) 578-8070

NPI assigned

Jun 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Marla Nakamura Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 16, 2024 through Jan 16, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1306007752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 BULLHILL CV",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137174",
            "telephone_number": "510-703-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 N CAPITAL OF TEXAS HWY STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597250",
            "telephone_number": "512-578-8070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Bullhill Cv",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786137174",
            "country_code": "US",
            "telephone_number": "512-553-3966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "MARLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "77651",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT103814",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0002340",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "LMFT203476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLA",
            "last_name": "NAKAMURA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Romaine Sanders, N.D.
• Shane Heath Sanders, PT
• Suzanne Waugh Sanders, LPC, LMFT
• Virginia Susan Sanders, LCSW-ACP
• Drew Sanderson, MD
• Michelle Sanderson, PT
• Pardeep Singh Sandhawalia, DO
• Anita R Sandhu, MD
• Manmit Sandhu, DMD
• Robin Lea Sandifer, R.PH.

• Marriage & Family Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.