Brad K. Sandlin I, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

12743 Issued in TX

Practice address

7808 Clodus Fields Dr
Dallas, TX 75251-2206

Phone

(972) 701-3637

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Brad K. Sandlin I Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972659092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 DIVISION ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754016049",
            "telephone_number": "469-222-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7808 CLODUS FIELDS DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512206",
            "telephone_number": "972-701-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDLIN",
        "first_name": "BRAD",
        "middle_name": "K.",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "12743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRAD",
            "last_name": "SANDLIN",
            "middle_name": "K.",
            "prefix": "MR.",
            "suffix": "I",
            "credential": "L.P.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shivali Sandhu
• Simardeep Kaur Sandhu, MD
• Delaney Olivia Sandidge
• Sonya A. Sandifer
• Uriel Sebastian Sandkovsky, MD, MS
• Emily Katherine Sandlin, M.D.
• Lona Sandon, R.D.N., L.D.
• Eric Sandorf
• Michelle Angelica Sandoval Cabanas, MD
• Alejandra Sandoval

• Professional Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.