Active NPI
Triva Watts Sanders, CRC, CCSCC
- Counselor
- Vicksburg, MS
National Provider Identifier
1457202210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 718 Bowmar Ave
Vicksburg, MS 39180-4603 - Phone
- (850) 363-0012
- NPI assigned
- Feb 6, 2026
- Last updated
- Feb 6, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | NU | ||
| Counselor | 101Y00000X | NU | Primary | |
| Pastoral Counselor | 101YP1600X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | ||
| Nurse's Aide | 376K00000X | NU | ||
| Physical Therapist | 225100000X | NU | ||
| Massage Therapist | 225700000X | NU | ||
| Rehabilitation Counselor | 225C00000X | NU | ||
| Occupational Therapist | 225X00000X | NU |
Addresses
Primary practice location
718 Bowmar Ave
Vicksburg, MS 39180-4603
Mailing address
1651 Oak Ridge Rd
Vicksburg, MS 39183-9310
Phone (817) 800-0612
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Hand Up Rehabilitation Services, Inc. | Multi-Specialty | Current | Accepting new patients |
Locations
718 Bowmar Ave
Vicksburg, MS 39180
Phone (850) 363-0012
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.
-
- Rehabilitation Counselor
- Vicksburg, MS
- NPI 1417808270
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770336000000",
"number": "1457202210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1651 OAK RIDGE RD",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391839310",
"telephone_number": "817-800-0612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 BOWMAR AVE",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391804603",
"telephone_number": "850-363-0012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "TRIVA",
"middle_name": "WATTS",
"name_prefix": "Mrs.",
"credential": "CRC, CCSCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-06",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vicksburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.