Individual provider Active NPI

Mirasol Nievas Sonalan, CTRS

  • Recreation Therapist
  • McKinney, TX
National Provider Identifier
1396560322
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
License
70490 Issued in TX
Practice address
7405 Jackrabbit Ave
McKinney, TX 75071-2071
Phone
(251) 554-0199
NPI assigned
Nov 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225800000X 70490 TX Primary

Addresses

Primary practice location

7405 Jackrabbit Ave
McKinney, TX 75071-2071

Mailing address

7405 Jackrabbit Ave
McKinney, TX 75071-2071
Phone (251) 554-0199

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

State licenses

LicenseStateTypeSpecialty
70490TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1396560322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 JACKRABBIT AVE",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750712071",
            "telephone_number": "251-554-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 JACKRABBIT AVE",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750712071",
            "telephone_number": "251-554-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONALAN",
        "first_name": "MIRASOL",
        "middle_name": "NIEVAS",
        "credential": "CTRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Recreation Therapist",
            "state": "TX",
            "license": "70490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.