Individual provider Active NPI

Shari Malinda Sawyer, LPC

  • Mental Health Counselor
  • Lubbock, TX
National Provider Identifier
1891976684
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17829 Issued in TX
Practice address
3610 Avenue Q Ste 225
Lubbock, TX 79412-1248
Phone
(806) 749-3300
Fax
(806) 749-3301
NPI assigned
Nov 20, 2007
Last updated
Nov 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 17829 TX Primary

Addresses

Primary practice location

3610 Avenue Q Ste 225
Lubbock, TX 79412-1248

Mailing address

3610 Avenue Q Ste 225
Lubbock, TX 79412-1248
Phone (806) 749-3300

Other identifiers 1

IdentifierTypeStateIssuer
161556902MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240522000421 TX Practitioner - Mental Health Counselor 5991147068 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17829TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Assn of Lubbock, Texas, Inc. CurrentSince Mar 28, 2024 Accepting new patients

Locations

5701 Avenue P
Lubbock, TX 79412
Phone (806) 741-0713

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1891976684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 AVENUE Q STE 225",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794121248",
            "telephone_number": "806-749-3300",
            "fax_number": "806-749-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 AVENUE Q STE 225",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794121248",
            "telephone_number": "806-749-3300",
            "fax_number": "806-749-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER",
        "first_name": "SHARI",
        "middle_name": "MALINDA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "17829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161556902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.