Individual provider Active NPI

Stacy Michelle Sardina, LMSW

  • Mental Health Counselor
  • Utica, NY
National Provider Identifier
1013837129
Registry record updated Jul 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
055199 Issued in NY
Practice address
506 Bleecker St
Utica, NY 13501-2402
Phone
(315) 794-3113
NPI assigned
Jul 18, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 055199 NY Primary

Addresses

Primary practice location

506 Bleecker St
Utica, NY 13501-2402

Mailing address

11 1/2 Robin Rd
Utica, NY 13501-6409
Phone (315) 794-3113

Other practice location 1

11 1/2 Robin Rd
Utica, NY 13501-6409
Phone (315) 794-3113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1784332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784332800000",
    "number": "1013837129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 1/2 ROBIN RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016409",
            "telephone_number": "315-794-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 BLEECKER ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135012402",
            "telephone_number": "315-794-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 1/2 Robin Rd",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135016409",
            "country_code": "US",
            "telephone_number": "315-794-3113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARDINA",
        "first_name": "STACY",
        "middle_name": "MICHELLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-18",
        "last_updated": "2026-07-18",
        "certification_date": "2026-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "055199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2026; 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.