Active NPI
Anita Sandoval, LPC
- Professional Counselor
- Weslaco, TX
National Provider Identifier
1609108125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 63703
- Practice address
- 402 S Nebraska Ave
Weslaco, TX 78596-6024 - Phone
- (956) 314-0794
- Fax
- (956) 271-0378
- NPI assigned
- Feb 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 63703 | TX | Primary |
Addresses
Primary practice location
402 S Nebraska Ave
Weslaco, TX 78596-6024
Mailing address
2802 E 20TH St
Mission, TX 78572-3337
Phone (956) 314-0794
Other names 1
- Ms. Anita Patricia Sandoval
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 |
|---|---|---|---|
| 63703 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Counselor | Current | Accepting new patients |
Interoperability endpoints
- anitasandoval@tdh.allscriptsdirect.net
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1609108125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2802 E 20TH ST",
"city": "MISSION",
"state": "TX",
"postal_code": "785723337",
"telephone_number": "956-314-0794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 S NEBRASKA AVE",
"city": "WESLACO",
"state": "TX",
"postal_code": "785966024",
"telephone_number": "956-314-0794",
"fax_number": "956-271-0378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOVAL",
"first_name": "ANITA",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-09",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "63703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANITA",
"last_name": "SANDOVAL",
"middle_name": "PATRICIA",
"prefix": "MS.",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Weslaco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.