OMAR SANDOVAL LPC
NPI 1861906539
Counselor - Professional in Hidalgo, TX

Q: What is Omar Sandoval's NPI number?

The NPI number for Omar Sandoval is 1861906539. It was assigned to this individual provider in the NPPES registry on November 16, 2017.

Q: What is Omar Sandoval's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Omar Sandoval was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 16, 2017PECOS Enrolled

417 31ST ST, HIDALGO, TX 78557(956) 320-7809 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Omar Sandoval Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMAR SANDOVAL LPC (NPI 1861906539) is an individual professional provider in Hidalgo, Texas, licensed in Texas (78354) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861906539

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameOMAR SANDOVALCredential: LPC

Location Address417 31ST STHidalgo, TX 78557-3621

Mailing Address417 31st StHidalgo, TX 78557-3621 · (956) 320-7809

Phone(956) 320-7809

Sole ProprietorYes

Enumeration DateNovember 16, 2017

Last NPPES UpdateMarch 13, 2024

NPPES CertifiedJanuary 23, 2022

✔ NPI 1861906539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TX · 78354

417 31ST ST, Hidalgo, TX 78557

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Omar Sandoval Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Omar Sandoval reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA

1,122 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Texas enrollment
1,573 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omar Sandoval's NPI number?

The NPI number for Omar Sandoval is 1861906539. It was assigned to this individual provider in the NPPES registry on November 16, 2017.

Where is Omar Sandoval located?

Omar Sandoval practices at 417 31st St, Hidalgo, TX 78557. The listed phone number is (956) 320-7809.

What is Omar Sandoval's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Omar Sandoval enrolled in Medicare?

Yes. Omar Sandoval is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Omar Sandoval's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omar Sandoval reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Omar Sandoval's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omar Sandoval accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare and UnitedHealthcare list Omar Sandoval as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Omar Sandoval was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.