Active NPI
Sandra L Garbuzinski, LPC-MHSP
- Mental Health Counselor
- Cordova, TN
National Provider Identifier
1073639134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC000000167 8
- Practice address
- 8130 Country Village Dr
Suite 102
Cordova, TN 38016-2087 - Phone
- (901) 308-2915
- Fax
- (901) 308-2924
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC000000167 8 | TN | Primary |
Addresses
Primary practice location
8130 Country Village Dr
Suite 102
Cordova, TN 38016-2087
Mailing address
55 Normacarol Rd
Oakland, TN 38060-3338
Phone (901) 606-6098
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC0000001678 | Other | TN | STATE LICENSE |
Other names 1
- Ms. Sandra L Daniel
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC000000167 8 | TN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393977600000",
"number": "1073639134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 NORMACAROL RD",
"city": "OAKLAND",
"state": "TN",
"postal_code": "380603338",
"telephone_number": "901-606-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8130 COUNTRY VILLAGE DR",
"address_2": "SUITE 102",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380162087",
"telephone_number": "901-308-2915",
"fax_number": "901-308-2924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARBUZINSKI",
"first_name": "SANDRA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LPC-MHSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2014-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "LPC000000167 8",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "LPC0000001678",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "DANIEL",
"middle_name": "L",
"prefix": "MS.",
"credential": "LPC-MHSP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.