Sandra Enders

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

46.005894 Issued in CT

Practice address

23 Oregon Ave
East Haven, CT 06512-4120

Phone

(203) 468-6277

NPI assigned

Dec 31, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Transpersonal Perspectives LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • East Haven, CT
  • NPI 1982599668
  Medicare reassignment NPD Authorized official
• Step Up Care PC LLC

  • Counselor
  • Danielson, CT
  • NPI 1154884740
  Medicare reassignment NPD

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1003388141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 OREGON AVE",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065124120",
            "telephone_number": "203-468-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 OREGON AVE",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065124120",
            "telephone_number": "203-468-6277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Ella T Grasso Blvd",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065195516",
            "country_code": "US",
            "telephone_number": "203-349-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENDERS",
        "first_name": "SANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-31",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "44.001491",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "46.005894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Haven Markets LLC
• East Haven Pediatrics P.C.
• Elite Care Homemaker and Companion Services
• Elite Nursing Care
• Jihad Elkareh, PHARM.D, PH.D
• Eoto Homecare LLC
• Vincent Evangelista, RPH
• Fair Haven Community Health Clinic, Inc
• Laurie Fand, LPC
• Rebecca Catherine Fasulo, CCC-SLP

• Professional Counselor in East Haven, CT
• Providers in East Haven, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.