Individual provider Active NPI

Sandra Stillo, PH.D., LPC-S

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1902121775
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63361 Issued in TX
Practice address
10300 N Central Expy Ste 322
Dallas, TX 75231-8656
Phone
(214) 718-8341
Fax
(844) 840-7304
NPI assigned
Apr 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 63361 TX Primary

Addresses

Primary practice location

10300 N Central Expy Ste 322
Dallas, TX 75231-8656

Mailing address

2040 Babcock Rd Ste 303
San Antonio, TX 78229-4428
Phone (214) 718-8341

Other practice location 1

2040 Babcock Rd Ste 303
San Antonio, TX 78229-4428
Phone (214) 718-8341

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
63361TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Spot PLLC Mental Health CurrentSince Nov 5, 2023 Accepting new patients

Locations

10300 N Central Expy
Ste 322
Dallas, TX 75231
Phone (214) 494-9317

5646 Milton St
Ste 231
Dallas, TX 75206
Phone (214) 494-9317

2040 Babcock Rd
Ste 303
San Antonio, TX 78229
Phone (210) 802-7308

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": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1902121775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 BABCOCK RD STE 303",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294428",
            "telephone_number": "214-718-8341",
            "fax_number": "844-840-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 N CENTRAL EXPY STE 322",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752318656",
            "telephone_number": "214-718-8341",
            "fax_number": "844-840-7304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 Babcock Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294428",
            "country_code": "US",
            "telephone_number": "214-718-8341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILLO",
        "first_name": "SANDRA",
        "name_prefix": "Mrs.",
        "credential": "PH.D., LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.