Active NPI
Makena Sewell
- Mental Health Counselor
- Southlake, TX
National Provider Identifier
1770413973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 99609
- Practice address
- 1100 E Southlake Blvd Ste 200
Southlake, TX 76092-6381 - Phone
- (817) 756-1293
- NPI assigned
- May 20, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 99609 | TX | Primary |
Addresses
Primary practice location
1100 E Southlake Blvd Ste 200
Southlake, TX 76092-6381
Mailing address
455 Northwest Hwy Apt 2310
Irving, TX 75039-4244
Other practice location 1
508 Silicon Dr Ste 110
Southlake, TX 76092-9242
Phone (817) 865-3854
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 |
|---|---|---|---|
| 99609 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1770413973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 NORTHWEST HWY APT 2310",
"city": "IRVING",
"state": "TX",
"postal_code": "750394244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E SOUTHLAKE BLVD STE 200",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926381",
"telephone_number": "817-756-1293"
}
],
"practiceLocations": [
{
"address_1": "508 Silicon Dr Ste 110",
"address_purpose": "LOCATION",
"city": "Southlake",
"state": "TX",
"postal_code": "760929242",
"country_code": "US",
"telephone_number": "817-865-3854",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEWELL",
"first_name": "MAKENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-20",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "99609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.