Sarah Kendra Michelle Olivares, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

14334 Issued in TX

Practice address

621 Londonderry LN
Denton, TX 76205-7792

Phone

(940) 483-0644

Fax

(940) 483-9337

NPI assigned

Dec 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1578100855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 LONDONDERRY LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057792",
            "telephone_number": "940-483-0644",
            "fax_number": "940-483-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 LONDONDERRY LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057792",
            "telephone_number": "940-483-0644",
            "fax_number": "940-483-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVARES",
        "first_name": "SARAH",
        "middle_name": "KENDRA MICHELLE",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwcofdenton@earthlink.net",
            "affiliation": "N",
            "endpointDescription": "Encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "621 Londonderry Ln",
            "city": "Denton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762057792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Timothy Andrew Ogurek
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• Ogochukwu Okoye, MD
• Olg Enterprises, LLC
• Olive Branch Family Therapy Inc.
• Olive Branch Recovery LLC
• Thomas J Olmsted, DO
• Emily Olson
• Fayokemi Olawale Olusegun

• Addiction (Substance Use Disorder) Counselor in Denton, TX
• Providers in Denton, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.