Sandra St Jean

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC11538 Issued in MD

Practice address

9901 Medical Center Dr
Rockville, MD 20850-3357

Phone

(240) 826-6000

NPI assigned

May 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nylu Therapeutic Solutions, LLC

  • Professional Counselor
  • Bowie, MD
  • NPI 1255848800
  NPD (past)

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

{
    "created_epoch": "1558137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728777600000",
    "number": "1023674686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2278 PRINCE OF WALES CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 MEDICAL CENTER DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503357",
            "telephone_number": "240-826-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7610 Pennsylvania Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Forestville",
            "state": "MD",
            "postal_code": "207474764",
            "country_code": "US",
            "telephone_number": "240-838-3707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST JEAN",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-18",
        "last_updated": "2024-10-13",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC11538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Srock
• David Srour
• Flavia Mwaita Ssemanda, FNP
• Mary St Denis
• Joanne St Hilaire
• Samantha St John-Doe
• Morgan St John
• Nevillene St John
• Haidel St. Charles
• Nathan St. Pierre

• Professional Counselor in Rockville, MD
• Providers in Rockville, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2024; 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.