Individual provider Active NPI

Andrea B Spraggins, PH.D.

  • Counseling Psychologist
  • Austin, TX
National Provider Identifier
1487954293
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
3-4798 Issued in TX
Practice address
2222 Western Trails Blvd.
Suite 202
Austin, TX 78745
Phone
(512) 448-3221
Fax
(512) 448-3218
NPI assigned
Oct 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 34798 TX
Counseling Psychologist 103TC1900X 3-4798 TX Primary

Addresses

Primary practice location

2222 Western Trails Blvd.
Suite 202
Austin, TX 78745

Mailing address

2222 Western Trails Blvd.
Suite 202
Austin, TX 78745
Phone (512) 448-3221

Other identifiers 1

IdentifierTypeStateIssuer
216794201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3-4798TXMDCounseling Psychologist
34798TXMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spraggins Psychological Services, PLLC CurrentSince Sep 23, 2024 Accepting new patients

Locations

2222 Western Trails Blvd
Ste 202
Austin, TX 78745
Phone (512) 448-3221

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1487954293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 WESTERN TRAILS BLVD.",
            "address_2": "SUITE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78745",
            "telephone_number": "512-448-3221",
            "fax_number": "512-448-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 WESTERN TRAILS BLVD.",
            "address_2": "SUITE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78745",
            "telephone_number": "512-448-3221",
            "fax_number": "512-448-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGGINS",
        "first_name": "ANDREA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "34798",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "3-4798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216794201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.