Sandra Lynn Starnes
Individual provider Active NPI Professional Counselor · Scurry, TX
NPI 1396310686 · NPPES record last updated May 20, 2021
Key facts
- NPI
- 1396310686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 85416 (TX)
- Practice address
- 12209 Wylie LN
Scurry, TX 75158-3752 - Phone
- (888) 620-6730
- Fax
- (972) 452-2210
- NPI assigned
- May 20, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Connection to Recovery LLC
Practice addresses (Care Compare)
14038 China Spring Rd
Suite 13
China Spring, TX 76633-3450
Phone (512) 334-6449
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240424002462 | TX | Practitioner - Mental Health Counselor | 2163862186 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85416 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connection to Recovery, LLC | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 85416 | TX | Yes |
Addresses
Primary practice location
12209 Wylie LN
Scurry, TX 75158-3752
Mailing address
12209 Wylie LN
Scurry, TX 75158-3752
Phone (888) 620-6730
Other providers in Scurry, TX
- Kynan Kinley
- Randall Eugene Kitchen
- Theresa Rae Lisenby
- Prospect Mountain Therapeutic Riding Center
- Scurry-Rosser Independent School District
- Baleigh Sims Stibbens
- Lawrene Villarreal
- Eric A Ward
All providers in Scurry, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.