Individual provider Active NPI

Sondra Whitaker, LPC

  • Professional Counselor
  • Katy, TX
National Provider Identifier
1386245850
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
80689 Issued in TX
Practice address
19827 Billineys Park Dr
Katy, TX 77449-8538
Phone
(281) 948-2280
NPI assigned
Nov 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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 80689 TX Primary

Addresses

Primary practice location

19827 Billineys Park Dr
Katy, TX 77449-8538

Mailing address

19827 Billineys Park Dr
Katy, TX 77449-8538

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
I20231215001540 TX Practitioner - Mental Health Counselor 4789038555 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80689TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Care PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1325 Main St
Ste 202
Katy, TX 77494
Phone (281) 778-9530

23410 Grand Reserve Dr
Ste 705
Katy, TX 77494
Phone (281) 778-9530

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": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1386245850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19827 BILLINEYS PARK DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774498538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19827 BILLINEYS PARK DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774498538",
            "telephone_number": "281-948-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "SONDRA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.