Active NPI
Michael Carroll Sanders, LPC
- Professional Counselor
- Metairie, LA
National Provider Identifier
1467905943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4391
- Practice address
- 2601 N Hullen St Ste 136
Metairie, LA 70002-5900 - Phone
- (504) 341-4869
- Fax
- (504) 341-6548
- NPI assigned
- Aug 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4391 | LA | Primary |
Addresses
Primary practice location
2601 N Hullen St Ste 136
Metairie, LA 70002-5900
Mailing address
2717 Pritchard Rd
Marrero, LA 70072-6007
Phone (504) 341-4869
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4391 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470009600000",
"number": "1467905943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 PRITCHARD RD",
"city": "MARRERO",
"state": "LA",
"postal_code": "700726007",
"telephone_number": "504-341-4869",
"fax_number": "504-341-6548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 N HULLEN ST STE 136",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700025900",
"telephone_number": "504-341-4869",
"fax_number": "504-341-6548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "MICHAEL",
"middle_name": "CARROLL",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-01",
"last_updated": "2016-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "4391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.