Individual provider Active NPI

Sandra Susana Sierra, LPC-ASSOCIATE

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1942026166
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
95697 Issued in TX
Practice address
6601 Montana Ave Ste J
El Paso, TX 79925-2143
Phone
(915) 320-1390
NPI assigned
Dec 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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 95697 TX Primary

Addresses

Primary practice location

6601 Montana Ave Ste J
El Paso, TX 79925-2143

Mailing address

11253 Tenaha Ave
El Paso, TX 79936-1202
Phone (915) 383-0839

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

State licenses

LicenseStateTypeSpecialty
95697TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Behavioral Health Texas PLLC CurrentSince Dec 8, 2024 Accepting new patients
Family Endeavors, Inc PastSince Dec 8, 2024 Accepting new patients

Locations

6601 Montana Ave
Ste J
El Paso, TX 79925
Phone (915) 234-6227

Organizations & group practices 2

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": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1942026166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11253 TENAHA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799361202",
            "telephone_number": "915-383-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 MONTANA AVE STE J",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799252143",
            "telephone_number": "915-320-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERRA",
        "first_name": "SANDRA",
        "middle_name": "SUSANA",
        "credential": "LPC-ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "95697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.