Individual provider Active NPI

Sandra Marie Bandas, MS, CRC, LPC

  • Professional Counselor
  • Richmond, VA
National Provider Identifier
1053754259
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005411 Issued in VA
Practice address
1520 W Main St Ste 201a
Richmond, VA 23220-0026
Phone
(804) 294-3635
NPI assigned
Apr 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701005411 VA Primary

Addresses

Primary practice location

1520 W Main St Ste 201a
Richmond, VA 23220-0026

Mailing address

1520 W Main St Ste 201a
Richmond, VA 23220-0026
Phone (804) 294-3635

Other identifiers 1

IdentifierTypeStateIssuer
30016013490005MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20250512000968 DC Practitioner - Mental Health Counselor 6204353402 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0701005411VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Genuine Zen Counseling Professional Current Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Apr 12, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1520 W Main St
Ste 201A
Richmond, VA 23220
Phone (804) 256-8197

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 2

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": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1053754259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 W MAIN ST STE 201A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232200026",
            "telephone_number": "804-294-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 W MAIN ST STE 201A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232200026",
            "telephone_number": "804-294-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDAS",
        "first_name": "SANDRA",
        "middle_name": "MARIE",
        "credential": "MS, CRC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-08",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30016013490005",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.