Individual provider Active NPI

Sandra Lynn Starnes

  • Professional Counselor
  • Scurry, TX
National Provider Identifier
1396310686
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
85416 Issued in TX
Practice address
12209 Wylie LN
Scurry, TX 75158-3752
Phone
(888) 620-6730
Fax
(972) 452-2210
NPI assigned
May 20, 2021
Last updated
May 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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 85416 TX Primary

Addresses

Primary practice location

12209 Wylie LN
Scurry, TX 75158-3752

Mailing address

12209 Wylie LN
Scurry, TX 75158-3752
Phone (888) 620-6730

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
I20240424002462 TX Practitioner - Mental Health Counselor 2163862186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connection to Recovery LLCGroup PAC ID 7416374491, 7 clinicians

Practice addresses (Care Compare)

14038 China Spring Rd
Suite 13
China Spring, TX 76633-3450
Phone (512) 334-6449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
85416TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Connection to Recovery, LLC CurrentSince Apr 16, 2024 Accepting new patients

Locations

14038 China Spring Rd
#13
China Spring, TX 76633
Phone (512) 334-6449

14038 China Spring Rd
Ste 13
China Spring, TX 76633

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1396310686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12209 WYLIE LN",
            "city": "SCURRY",
            "state": "TX",
            "postal_code": "751583752",
            "telephone_number": "888-620-6730",
            "fax_number": "972-452-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12209 WYLIE LN",
            "city": "SCURRY",
            "state": "TX",
            "postal_code": "751583752",
            "telephone_number": "888-620-6730",
            "fax_number": "972-452-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARNES",
        "first_name": "SANDRA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "85416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scurry, TX

Sources for this page

Verify at the official NPI Registry.