Jonathan D Sandau

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LC7793 Issued in ME

Practice address

401 S Main St
Brewer, ME 04412-2322

Phone

(207) 659-1577

NPI assigned

Jun 29, 2016

Sex

Male

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.

• Dirigo Counseling Clinic, LLC

  • Community/Behavioral Health Agency
  • Bangor, ME
  • NPI 1295734085

  Addiction (Substance Use Disorder)

  NPD (past)
• Pine Tree Urgent Care LLC

  • Urgent Care Clinic/Center
  • Bangor, ME
  • NPI 1679450969
  NPD (past)

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1104277201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 WING RD",
            "city": "HERMON",
            "state": "ME",
            "postal_code": "044010422",
            "telephone_number": "207-659-1577",
            "fax_number": "207-992-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044122322",
            "telephone_number": "207-659-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDAU",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC7793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn E Rush, NP
• Brenda Russell-Mann
• Beatrice Ann Russell
• RWW Outpatient Rehab Services, Inc.
• Safeandsoundyouthtransportation,Inc
• Rebecca E Sander, LMFT
• Zachary Nicholas Sanders, LCPC-C
• Nadine Patricia Sauer Santacruz, M.D.
• Jeffrey E Sawyer, OD
• John Scolaro

• Addiction (Substance Use Disorder) Counselor in Brewer, ME
• Providers in Brewer, ME by specialty
• Addiction (Substance Use Disorder) Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.