Individual provider Active NPI

Alexis Sorbara, MA, LMFT-A, ATR-P

  • Art Therapist
  • Dallas, TX
National Provider Identifier
1356948632
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
19-479 Issued in TX
Practice address
9330 Lyndon B Johnson Fwy Ste 1250
Dallas, TX 75243-3436
Phone
(972) 841-7131
NPI assigned
Oct 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 19-479 TX Primary

Addresses

Primary practice location

9330 Lyndon B Johnson Fwy Ste 1250
Dallas, TX 75243-3436

Mailing address

323 S Montreal Ave
Dallas, TX 75208-5643
Phone (203) 912-1023

Other practice location 1

2000 Old Hickory Trl
DeSoto, TX 75115-2242
Phone (972) 298-7323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
19-479TXMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1356948632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S MONTREAL AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752085643",
            "telephone_number": "203-912-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 LYNDON B JOHNSON FWY STE 1250",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433436",
            "telephone_number": "972-841-7131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Old Hickory Trl",
            "address_purpose": "LOCATION",
            "city": "DeSoto",
            "state": "TX",
            "postal_code": "751152242",
            "country_code": "US",
            "telephone_number": "972-298-7323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORBARA",
        "first_name": "ALEXIS",
        "credential": "MA, LMFT-A, ATR-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "TX",
            "license": "19-479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.