Active NPI
Sara Eddy
- Professional Counselor
- Lake Jackson, TX
National Provider Identifier
1548618911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 66073
- Practice address
- 109 Circle Way
Lake Jackson, TX 77566 - Phone
- (979) 297-4335
- NPI assigned
- May 26, 2016
- Last updated
- May 26, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 66073 | TX | Primary |
Addresses
Primary practice location
109 Circle Way
Lake Jackson, TX 77566
Mailing address
607 Walnut
Lake Jackson, TX 77566
Phone (832) 660-7471
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 |
|---|---|---|---|
| 66073 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Family Solutions, LLC | Professional | Past | Accepting new patients |
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.
-
- Marriage & Family Therapist
- Lake Jackson, TX
- NPI 1497873699
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464220800000",
"number": "1548618911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 WALNUT",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "77566",
"telephone_number": "832-660-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 CIRCLE WAY",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "77566",
"telephone_number": "979-297-4335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDDY",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-26",
"last_updated": "2016-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "66073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Jackson, TX
- Jennifer Elise Duchaney, CPNP-PC
- Ec Opco Lake Jackson, LLC (Sodalis Lake Jackson)
- Tiffany Paige Eckenrod, MS,RD,LD
- Eckerds RX 106 LLC (Eckerds Pharmacy 106)
- Eco Dental Care, PLLC
- Brooksie Edquist, PT
- Steven Dale Eggleston, M.D.
- Elite Healthcare Services, PLLC
- Thomas Alan Ellisor, D.D.S.
- Scott A Elrod
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.