NPIMap

Organization Active NPI

Play Therapy Dallas, PLLC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1437529666
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63361 Issued in TX
Legal business name
PLAY THERAPY DALLAS, PLLC
Practice address
5646 Milton St
Suite 436
Dallas, TX 75206-3907
Phone
(214) 718-8341
NPI assigned
Sep 30, 2015
Last updated
Sep 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Sandra Stillo, MS, LPCNPI 1902121775
Title
Member/Therapist
Phone
(214) 718-8341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 63361 TX Primary

Addresses

Primary practice location

5646 Milton St
Suite 436
Dallas, TX 75206-3907

Mailing address

5646 Milton St
Suite 436
Dallas, TX 75206-3907

National Provider Directory

National Provider Directory

Locations

5646 Milton St
Ste 436
Dallas, TX 75206
Phone (214) 325-9016

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1437529666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5646 MILTON ST",
            "address_2": "SUITE 436",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752063907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5646 MILTON ST",
            "address_2": "SUITE 436",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752063907",
            "telephone_number": "214-718-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAY THERAPY DALLAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "STILLO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "MEMBER/THERAPIST",
        "authorized_official_telephone_number": "214-718-8341",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63361",
            "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 Sep 30, 2015; 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.