Individual provider Active NPI

Sandy A Carter, MA LPC-S

  • Professional Counselor
  • Magnolia, TX
National Provider Identifier
1932137403
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16640 Issued in TX
Practice address
33130 Magnolia Cir Ste 10
Magnolia, TX 77354-3277
Phone
(281) 610-0303
Fax
(888) 845-3240
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 16640 TX Primary

Addresses

Primary practice location

33130 Magnolia Cir Ste 10
Magnolia, TX 77354-3277

Mailing address

PO Box 786
Goodrich, TX 77335-0786
Phone (281) 610-0303

Other practice location 1

802 River Rd
Goodrich, TX 77335-8239
Phone (281) 610-0303

Other identifiers 2

IdentifierTypeStateIssuer
6309LCOtherTXBCBSTX PIN
163381002MedicaidTX

Other names 1

  • Ms. Sandra Carter Professional name

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
I20240522004084 TX Practitioner - Mental Health Counselor 2163864125 Practice locations: Magnolia, TX; Goodrich, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
16640TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1932137403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "GOODRICH",
            "state": "TX",
            "postal_code": "773350786",
            "telephone_number": "281-610-0303",
            "fax_number": "888-845-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33130 MAGNOLIA CIR STE 10",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773543277",
            "telephone_number": "281-610-0303",
            "fax_number": "888-845-3240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 River Rd",
            "address_purpose": "LOCATION",
            "city": "Goodrich",
            "state": "TX",
            "postal_code": "773358239",
            "country_code": "US",
            "telephone_number": "281-610-0303",
            "fax_number": "888-845-3240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "SANDY",
        "middle_name": "A",
        "credential": "MA LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX PIN",
            "identifier": "6309LC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163381002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "CARTER",
            "prefix": "MS.",
            "credential": "MA LPC-S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Magnolia, TX

Sources for this page

Verify at the official NPI Registry.