MRS. SANDRA S CLEM (LPC INTERN) – Professional Counselor, NPI 1609144104

MRS. SANDRA S CLEM (LPC INTERN) is a healthcare provider. based in Austin, Texas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC INTERN. They hold a License No. 68587 (TX). The NPI Number for MRS. SANDRA S CLEM (LPC INTERN) is 1609144104

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SANDRA S CLEM (LPC INTERN)
NPI
1609144104
Phone
(512) 346-9299
Address
4131 SPICEWOOD SPRINGS RD
Enumeration Date
12 December 2011
Last Update Date
12 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8332314673
Graduation Year
2010 (16 years ago)
PAC ID
0749774123
Group Practice PAC ID
0446778328
Professional Enrollment ID
I20251212001335
Address ID
TX750133770AL825XXBLVD402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,950 MENTAL HEALTH COUNSELOR in TX

Provider Addresses for MRS. SANDRA S CLEM (LPC INTERN)

  • 4131 SPICEWOOD SPRINGS RD

    BUILDING K, SUITE 1

    AUSTIN, TX 787598661

    Phone: (512) 346-9299

    Fax: (512) 502-1350

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251212001335IMental Health CounselorTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78759)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446778328View full group profile
NameSpecialtyState
Clinical PsychologistTX
Mental Health CounselorTX
Clinical PsychologistTX
Mental Health CounselorTX
Clinical PsychologistTX
Clinical PsychologistTX
Clinical PsychologistCT
Clinical Social WorkerTX
Clinical PsychologistCA
Clinical PsychologistTX

Reviews

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Frequently asked questions

What NPI should I save for MRS. SANDRA S CLEM (LPC INTERN)?
Save NPI 1609144104 if you need a stable reference for MRS. SANDRA S CLEM (LPC INTERN).
Does this profile mean MRS. SANDRA S CLEM (LPC INTERN) is currently active?
Yes — MRS. SANDRA S CLEM (LPC INTERN) appears active in the national provider directory.
What kind of provider is MRS. SANDRA S CLEM (LPC INTERN)?
The page reflects Professional Counselor for MRS. SANDRA S CLEM (LPC INTERN). Clinical services aligned with this taxonomy classification.
Where does public data place MRS. SANDRA S CLEM (LPC INTERN)?
The snapshot lists Austin, Texas for MRS. SANDRA S CLEM (LPC INTERN); download NPPES for the complete set.
What if Austin, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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