Active NPI
Lory Crystal Sandoval, D.P.C, L.P.C
- Professional Counselor
- Mission, TX
National Provider Identifier
1568898443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 68787
- Practice address
- 1348 Mark PL
Mission, TX 78572-5919 - Phone
- (956) 222-9942
- NPI assigned
- Sep 23, 2013
- 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 | 68787 | TX | Primary |
Addresses
Primary practice location
1348 Mark PL
Mission, TX 78572-5919
Mailing address
1348 Mark PL
Mission, TX 78572-5919
Phone (956) 222-9942
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3321309-01 | Medicaid | TX | |
| 68787 | Other | TX | LPC LICENSING BOARD OF TEXAS |
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 |
|---|---|---|---|
| 68787 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743292800000",
"number": "1568898443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1348 MARK PL",
"city": "MISSION",
"state": "TX",
"postal_code": "785725919",
"telephone_number": "956-222-9942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1348 MARK PL",
"city": "MISSION",
"state": "TX",
"postal_code": "785725919",
"telephone_number": "956-222-9942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOVAL",
"first_name": "LORY",
"middle_name": "CRYSTAL",
"name_prefix": "Dr.",
"credential": "D.P.C, L.P.C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-23",
"last_updated": "2025-03-30",
"certification_date": "2025-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "68787",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3321309-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC LICENSING BOARD OF TEXAS",
"identifier": "68787",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.