Justin Sanderson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

80117 Issued in TX

Practice address

1848 Lockhill Selma Rd Ste 101
San Antonio, TX 78213-1566

Phone

(210) 254-3618

NPI assigned

Jul 7, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Central Texas Nutrition Consultants

  • Registered Dietitian
  • Austin, TX
  • NPI 1720105919
  NPD (past)
• Innova Recovery Center, PLLC

  • Psychiatric Residential Treatment Facility
  • Boerne, TX
  • NPI 1285360560
  NPD (past)
• Innova Recovery, PLLC

  • Psychiatric Residential Treatment Facility
  • San Antonio, TX
  • NPI 1821546078
  NPD (past)
• Innova Recovery, PLLC

  • Clinical Psychologist
  • Edmond, OK
  • NPI 1497598684
  NPD (past)

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

{
    "created_epoch": "1530921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530921600000",
    "number": "1992291561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11006 WHISPER RDG",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303613",
            "telephone_number": "210-854-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 LOCKHILL SELMA RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131566",
            "telephone_number": "210-254-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "JUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-07",
        "last_updated": "2018-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "80117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiyona Sanders
• Turquoise La' Shael Sanders
• Virginia M. Sanders, M.D.
• Emily Sanderson
• Jessica Nicole Sanderson
• Kasie Lynn Sanderson, NUTRITIONIST
• Ursula R Sanderson, PSY.D.
• Valerie Sanderson, OTD
• Lorraine Sanderstein, MT
• Carolyn Parnell. Sandford

• Mental Health Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2018; 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.