Active NPI
Kennedy Sanchez
- Professional Counselor
- Rosenberg, TX
National Provider Identifier
1689458804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 92366
- Practice address
- 1335 Ellis Grove LN
Rosenberg, TX 77471-6651 - Phone
- (832) 617-4750
- NPI assigned
- Aug 21, 2023
- 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 | 92366 | TX | Primary |
Addresses
Primary practice location
1335 Ellis Grove LN
Rosenberg, TX 77471-6651
Mailing address
7314 Frostview LN
Missouri City, TX 77489-2442
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92366 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mack Counseling PLLC | Professional | Current | Accepting new patients |
| Mack Counseling Residential | Current | Accepting new patients |
Locations
7322 Southwest Fwy
Ste 1055
Houston, TX 77074
Phone (346) 279-8175
Organizations & group practices 2
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.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Houston, TX
- NPI 1265304679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1689458804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7314 FROSTVIEW LN",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774892442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 ELLIS GROVE LN",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774716651",
"telephone_number": "832-617-4750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "KENNEDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-21",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "92366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosenberg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.