Stacy Dee Ann Sandorskey, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

16940 Issued in TX

Practice address

2733 Mohawk Dr
Amarillo, TX 79109-4733

Phone

(806) 681-8686

NPI assigned

Oct 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Texas Panhandle Mental Health Mental Retardation

  • Psychiatry Physician
  • Amarillo, TX
  • NPI 1134188139
  Medicare reassignment NPD

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1811078702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 MOHAWK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791094733",
            "telephone_number": "806-681-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 MOHAWK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791094733",
            "telephone_number": "806-681-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDORSKEY",
        "first_name": "STACY",
        "middle_name": "DEE ANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "16940",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140793401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140793402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tambra A Sanchez, CPM, LM
• Don Sanders, D.D.S.
• Judy Sanders
• Ryan Sanders, PT
• Monty Kathleen Sanderson
• Jeannette Sandoval, FNP
• Rita A Sandoval, LMSW
• Kaylyn Sanmiguel, RBT
• William Charles Santer III, MA
• Carlos Humberto Santillan, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.

Verify at the official NPI Registry.