Active NPI
Andrea B Spraggins, PH.D.
- Counseling Psychologist
- Austin, TX
National Provider Identifier
1487954293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3-4798
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216794201 | Medicaid | TX |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3-4798 | TX | MD | Counseling Psychologist |
| 34798 | TX | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spraggins Psychological Services, PLLC | Current | 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.
-
- Clinical Psychologist
- Austin, TX
- NPI 1679965917
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.