Individual provider Active NPI

Sherry Michelle Mandel

  • Professional Counselor
  • Georgetown, TX
National Provider Identifier
1679299796
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
60344 Issued in TX
Practice address
1502 Blue Ridge Dr Ste 300
Georgetown, TX 78626-1002
Phone
(512) 763-2186
Fax
(512) 727-6364
NPI assigned
Oct 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 60344 TX Primary

Addresses

Primary practice location

1502 Blue Ridge Dr Ste 300
Georgetown, TX 78626-1002

Mailing address

15822 Garrison Cir
Austin, TX 78717-3005
Phone (512) 791-2785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231128000270 TX Practitioner - Mental Health Counselor 7719335017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Counseling Works LLPGroup PAC ID 8325495500, 7 clinicians

Practice addresses (Care Compare)

1502 Blue Ridge Dr
Suite 300
Georgetown, TX 78626-1002
Phone (512) 763-2186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Counseling Works, LLP CurrentSince Jan 1, 2024 Accepting new patients

Locations

2901 Caballo Ranch Blvd
Ste 6A
Cedar Park, TX 78641
Phone (512) 925-7222

1502 Blue Ridge Dr
Ste 300
Georgetown, TX 78626
Phone (956) 472-9127

2851 Joe Dimaggio Blvd
Ste 7
Round Rock, TX 78665
Phone (512) 736-2186

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.

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1679299796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15822 GARRISON CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787173005",
            "telephone_number": "512-791-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 BLUE RIDGE DR STE 300",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786261002",
            "telephone_number": "512-763-2186",
            "fax_number": "512-727-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDEL",
        "first_name": "SHERRY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "60344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.