Active NPI
Sara Hendricks, LPC-ASSOCIATE
- Professional Counselor
- Austin, TX
National Provider Identifier
1760109888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 85205
- Practice address
- 2811 La Frontera Blvd Apt 1118
Austin, TX 78728-1189 - Phone
- (512) 596-1758
- NPI assigned
- Oct 20, 2022
- 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 | 85205 | TX | Primary |
Addresses
Primary practice location
2811 La Frontera Blvd Apt 1118
Austin, TX 78728-1189
Mailing address
2811 La Frontera Blvd Apt 1118
Austin, TX 78728-1189
Phone (817) 403-0467
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 |
|---|---|---|---|
| 85205 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1760109888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 LA FRONTERA BLVD APT 1118",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787281189",
"telephone_number": "817-403-0467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 LA FRONTERA BLVD APT 1118",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787281189",
"telephone_number": "512-596-1758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKS",
"first_name": "SARA",
"credential": "LPC-ASSOCIATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-20",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "85205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.