Active NPI
Jennifer Marrs Sanders, LPC
- Professional Counselor
- Dallas, TX
National Provider Identifier
1639404452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16054
- Practice address
- 17400 Dallas Pwky.
Suite 100
Dallas, TX 75287-6042 - Phone
- (214) 761-3715
- Fax
- (214) 432-3005
- NPI assigned
- Oct 13, 2009
- 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 | 16054 | TX | Primary |
Addresses
Primary practice location
17400 Dallas Pwky.
Suite 100
Dallas, TX 75287-6042
Mailing address
5050 Westgrove Dr
Dallas, TX 75248-6042
Phone (214) 761-3715
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 |
|---|---|---|---|
| 16054 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255392000000",
"number": "1639404452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 WESTGROVE DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752486042",
"telephone_number": "214-761-3715",
"fax_number": "214-432-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17400 DALLAS PWKY.",
"address_2": "SUITE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752876042",
"telephone_number": "214-761-3715",
"fax_number": "214-432-3005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "JENNIFER",
"middle_name": "MARRS",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-13",
"last_updated": "2009-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "16054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.