Organization Active NPI

Sarah Boudjakdji LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Braunfels, TX
National Provider Identifier
1619789765
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SARAH BOUDJAKDJI LLC
Practice address
211 W Merriweather Street
New Braunfels, TX 78130
Phone
(512) 842-9582
NPI assigned
Jan 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Sarah Boudjakdji, LPCNPI 1679304869
Title
Counselor/Owner
Phone
(512) 842-9582

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

211 W Merriweather Street
New Braunfels, TX 78130

Mailing address

244 FM 306 # 120-208
New Braunfels, TX 78130-5488
Phone (715) 302-4036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250918001419 TX Part B Supplier - Clinic/Group Practice 5991209348 Receives reassigned benefits from 1 practitioner
Practice locations: New Braunfels, TX

National Provider Directory

National Provider Directory

Locations

136 E San Antonio St
TX 78130

136 E San Antonio St
New Braunfels, TX 78130
Phone (512) 842-9582

244 FM 306
#120208
New Braunfels, TX 78130

136 E San Antonio St
New Braunfels, TX 78130
Phone (512) 842-9582

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1619789765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 FM 306 # 120-208",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305488",
            "telephone_number": "715-302-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W MERRIWEATHER STREET",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78130",
            "telephone_number": "512-842-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH BOUDJAKDJI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "BOUDJAKDJI",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "512-842-9582",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.