Active NPI
Andrew Jay Farrell, L.P.C. S
- Professional Counselor
- Prosper, TX
National Provider Identifier
1841508744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 64917
- Practice address
- 212 E Broadway St
Prosper, TX 75078-2935 - Phone
- (469) 665-9024
- NPI assigned
- Sep 14, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 64917 | TX | Primary |
Addresses
Primary practice location
212 E Broadway St
Prosper, TX 75078-2935
Mailing address
100 W Evans Ave
Bonham, TX 75418-2519
Phone (512) 745-1468
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 |
|---|---|---|---|
| 64917 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Professional | Current | Accepting new patients |
Locations
2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788739200000",
"number": "1841508744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W EVANS AVE",
"city": "BONHAM",
"state": "TX",
"postal_code": "754182519",
"telephone_number": "512-745-1468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 E BROADWAY ST",
"city": "PROSPER",
"state": "TX",
"postal_code": "750782935",
"telephone_number": "469-665-9024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "ANDREW",
"middle_name": "JAY",
"credential": "L.P.C. S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-14",
"last_updated": "2026-09-07",
"certification_date": "2026-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "64917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prosper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; 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.