Carolyn W Sidereas, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

17879 Issued in TX

Practice address

2237 Ridge Rd
Ste 101
Rockwall, TX 75087-5164

Phone

(972) 771-3969

Fax

(972) 771-8258

NPI assigned

Sep 6, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Robert F Mehl III PHD & Assoc LLC

  • Multi-Specialty Clinic/Center
  • Rockwall, TX
  • NPI 1912999715
  NPD (past)

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790779726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 RIDGE RD",
            "address_2": "STE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875164",
            "telephone_number": "972-771-3969",
            "fax_number": "972-771-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 RIDGE RD",
            "address_2": "STE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875164",
            "telephone_number": "972-771-3969",
            "fax_number": "972-771-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDEREAS",
        "first_name": "CAROLYN",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE#",
            "identifier": "17879",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karri Shojaei-Scott, BCBA
• Sara Shorey, RDN
• Trudy Shryoc, L.AC.
• Hannah Shumake
• Connie M Siciliano Avila, PHD
• Cristina Marie Sifuentes, LPC
• Erin Zeynep Silav, M.D.
• Sim-Meds Inc.
• Andrew Simmons, LPC
• Storm Parker Simonin, LPC-ASSOCIATE

• Professional Counselor in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.