Sara Elizabeth Deshaw, LPC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

12149 Issued in TX

Practice address

1901 Dutton Dr
Suite E
San Marcos, TX 78666-7573

Phone

(512) 396-7695

Fax

(512) 396-7633

NPI assigned

Jul 2, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hays Caldwell Council on Alcohol and Drugs

  • Addiction (Substance Use Disorder) Counselor
  • San Marcos, TX
  • NPI 1689977928
  NPD (past)

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1437599669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 DUTTON DR",
            "address_2": "SUITE E",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667573",
            "telephone_number": "512-396-7695",
            "fax_number": "512-396-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 DUTTON DR",
            "address_2": "SUITE E",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667573",
            "telephone_number": "512-396-7695",
            "fax_number": "512-396-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHAW",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "67965",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065337001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Deloach
• Natasha Tushar Desai, MD
• Tushar M Desai, M.D.
• Rhonda Deschner, MD
• William K Deschner, M.D.
• Rhonda Ann Desormeaux, PTA
• Glenda M Detling, SLP
• Natalie Dettmer, LPC
• Clinton M Dewolfe, O.D.
• Diane M Phalen

• Addiction (Substance Use Disorder) Counselor in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.