Individual provider Active NPI

Sonya Modkins

  • Addiction (Substance Use Disorder) Counselor
  • Dallas, TX
National Provider Identifier
1497534408
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
13574 Issued in TX
Practice address
2831 Traildust Dr
Dallas, TX 75237-3223
Phone
(214) 229-1775
NPI assigned
Sep 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13574 TX Primary

Addresses

Primary practice location

2831 Traildust Dr
Dallas, TX 75237-3223

Mailing address

2307 Springlake Rd Ste 500
Farmers Branch, TX 75234-5876
Phone (469) 291-5288

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

LicenseStateTypeSpecialty
13574TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor of Hope Opioid Treatment Program Inc CurrentSince Oct 1, 2023 Accepting new patients

Locations

2307 Springlake Rd
Ste 500
Farmers Branch, TX 75234
Phone (429) 291-5288

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": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1497534408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 SPRINGLAKE RD STE 500",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752345876",
            "telephone_number": "469-291-5288",
            "fax_number": "469-291-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 TRAILDUST DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373223",
            "telephone_number": "214-229-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODKINS",
        "first_name": "SONYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.