Individual provider Active NPI

Charie Ann Sands, PLPC

  • Counselor
  • Nevada, MO
National Provider Identifier
1033675376
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2019004030 Issued in MO
Practice address
210 S Elm St
Nevada, MO 64772-3413
Phone
(417) 682-5757
Fax
(417) 682-5757
NPI assigned
Feb 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 000245 MO
Counselor 101Y00000X 2019004030 MO Primary

Addresses

Primary practice location

210 S Elm St
Nevada, MO 64772-3413

Mailing address

1107 Broadway St
Lamar, MO 64759-1758
Phone (417) 682-5757

Other practice location 1

815 S Ash St
Nevada, MO 64772-3222
Phone (816) 380-4010

Other names 1

  • Charie Ann Walker Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address allied@keinet.net Direct

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

State licenses

LicenseStateTypeSpecialty
2019004030MOMDCounselor
000245MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Mental Health Consultants LLC CurrentSince Jul 28, 2019 Accepting new patients
Full Health Wellness Systems PastSince Jul 28, 2019 Accepting new patients
Allied Mental Health Associates, Inc. PastSince Jul 28, 2019 Accepting new patients

Locations

1107 Broadway St
Lamar, MO 64759
Phone (417) 682-5757

210 S Elm St
Nevada, MO 64772
Phone (417) 283-2072

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1033675376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 BROADWAY ST",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647591758",
            "telephone_number": "417-682-5757",
            "fax_number": "417-682-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S ELM ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723413",
            "telephone_number": "417-682-5757",
            "fax_number": "417-682-5757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 S Ash St",
            "address_purpose": "LOCATION",
            "city": "Nevada",
            "state": "MO",
            "postal_code": "647723222",
            "country_code": "US",
            "telephone_number": "816-380-4010",
            "fax_number": "816-887-5703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDS",
        "first_name": "CHARIE",
        "middle_name": "ANN",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "000245",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2019004030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allied@keinet.net",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "210 S Elm St",
            "city": "Nevada",
            "state": "MO",
            "country_code": "US",
            "postal_code": "647723413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHARIE",
            "last_name": "WALKER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nevada, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.