{"npi":"1275920480","type":"NPI-1","status":"active","name":{"display":"Ian Sanders Lpc","other":[],"first":"IAN","last":"SANDERS","credential":"LPC"},"specialty":{"primary_taxonomy":"101YM0800X","primary_taxonomy_description":"Mental Health Counselor","slug":"mental-health-counselor","schema_org_specialty":null,"all":[{"code":"101YP2500X","description":"Professional Counselor","primary":false,"state":"WI","license":"6174-125"},{"code":"101YM0800X","description":"Mental Health Counselor","primary":true,"state":"TX","license":"79781"}]},"addresses":[{"purpose":"LOCATION","street_1":"603 DOGWOOD DR","city":"GREENVILLE","state":"TX","postal_code":"754028107","country_code":"US","phone":"4696777680"},{"purpose":"MAILING","street_1":"603 DOGWOOD DR","city":"GREENVILLE","state":"TX","postal_code":"754028107","country_code":"US","phone":"4696777680"}],"license":{"state":"TX","number":"79781"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"3916173","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240501002067","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"WA","pac_id":"8325488828"},{"enrlmt_id":"I20240501002773","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"TX","pac_id":"8325488828"},{"enrlmt_id":"I20240502003674","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"FL","pac_id":"8325488828"},{"enrlmt_id":"I20240507000669","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"WI","pac_id":"8325488828"},{"enrlmt_id":"I20240716003566","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"OR","pac_id":"8325488828"},{"enrlmt_id":"I20240717003020","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"AZ","pac_id":"8325488828"},{"enrlmt_id":"I20240807002300","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"DC","pac_id":"8325488828"},{"enrlmt_id":"I20240809001077","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"SC","pac_id":"8325488828"},{"enrlmt_id":"I20240819004201","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"CO","pac_id":"8325488828"}]},"enumeration_date":"2015-04-25","last_updated":"2019-06-04","_meta":{"source":"NPPES","snapshot_date":"2019-06-04","doc_url":"https://findmynpi.com/api"}}