Active NPI
Sanctum Health Partners, LLC
- Speech-Language Pathologist
- Carrollton, TX
National Provider Identifier
1649950296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SANCTUM HEALTH PARTNERS, LLC
- Practice address
- 2121 Midway Rd Ste 145
Carrollton, TX 75006-5263 - Phone
- (972) 851-1022
- NPI assigned
- Jul 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob Johnson
- Title
- President/Coo
- Phone
- (214) 298-3298
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | Primary | ||
| Augmentative Communication Clinic/Center | 261QA3000X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Hearing and Speech Clinic/Center | 261QH0700X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Physical Therapy Clinic/Center | 261QP2000X |
Addresses
Primary practice location
2121 Midway Rd Ste 145
Carrollton, TX 75006-5263
Mailing address
2121 Midway Rd Ste 145
Carrollton, TX 75006-5263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3930695 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Sanctum Health Partners LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Carrollton, TX
- NPI 1598254989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769731200000",
"number": "1649950296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 MIDWAY RD STE 145",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750065263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 MIDWAY RD STE 145",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750065263",
"telephone_number": "972-851-1022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANCTUM HEALTH PARTNERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-19",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "PRESIDENT/COO",
"authorized_official_telephone_number": "214-298-3298"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QA3000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Augmentative Communication",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3930695",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.