Individual provider Active NPI

Sandra Carolina Fierro, LPC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1548626906
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
68897 Issued in TX
Practice address
4925 Greenville Ave Ste 200
Dallas, TX 75206-0500
Phone
(956) 551-0836
Fax
(956) 621-3689
NPI assigned
Jan 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 68897 TX
Professional Counselor 101YP2500X 68897 TX Primary

Addresses

Primary practice location

4925 Greenville Ave Ste 200
Dallas, TX 75206-0500

Mailing address

2085 Sunset Lake
Brownsville, TX 78520
Phone (956) 551-0836

Other practice location 1

3430 Center St
Deer Park, TX 77536-5056
Phone (832) 548-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240221003486 TX Practitioner - Mental Health Counselor 8729422431 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince Jan 10, 2024 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Jan 10, 2024 Accepting new patients
Wellspring Branch Counseling and Consulting Services Past Accepting new patients
Kazmo Brain Center LLC Counselor Past Accepting new patients

Locations

3430 Center St
Deer Park, TX 77536
Phone (832) 266-7303

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

Organizations & group practices 4

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": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1548626906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 SUNSET LAKE",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78520",
            "telephone_number": "956-551-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 GREENVILLE AVE STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752060500",
            "telephone_number": "956-551-0836",
            "fax_number": "956-621-3689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3430 Center St",
            "address_purpose": "LOCATION",
            "city": "Deer Park",
            "state": "TX",
            "postal_code": "775365056",
            "country_code": "US",
            "telephone_number": "832-548-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIERRO",
        "first_name": "SANDRA",
        "middle_name": "CAROLINA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "68897",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.