Individual provider Active NPI

Dee Ann Sands, LPCC, NCC, CADS

  • Mental Health Counselor
  • Farmington, NM
National Provider Identifier
1114097417
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1740 Issued in NM
Practice address
608 E Comanche St
Farmington, NM 87401-6815
Phone
(505) 325-0072
NPI assigned
Nov 8, 2006
Last updated
Aug 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1740 NM Primary
Acupuncturist 171100000X 13 NM

Addresses

Primary practice location

608 E Comanche St
Farmington, NM 87401-6815

Mailing address

608 E Comanche St
Farmington, NM 87401-6815
Phone (505) 325-0072

Other identifiers 2

IdentifierTypeStateIssuer
G9368MedicaidNM
201079803OtherPRESB H

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20240625003398 NM Practitioner - Mental Health Counselor 4981148475 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nonviolence Works IncGroup PAC ID 4587840806, 13 clinicians

Practice addresses (Care Compare)

105 Bertha Rd
Suite B
Taos, NM 87571-7148
Phone (575) 770-8136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1740NMMDMental Health Counselor
13NMMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Birches Health Medical Group P a Mental Health CurrentSince May 1, 2024 Accepting new patients
Nonviolence Works, Inc. CurrentSince Sep 15, 2024 Accepting new patients
Jeffrey S. Grant, M.D., P.C. Past Accepting new patients

Locations

100 S Ashley Dr
Ste 600
Tampa, FL 33602
Phone (813) 766-4218

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

105 Bertha Rd
Ste B
Taos, NM 87571
Phone (575) 758-4297

20 W 20th St
Ste 203
New York, NY 10011
Phone (212) 410-6052

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1114097417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 E COMANCHE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016815",
            "telephone_number": "505-325-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E COMANCHE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016815",
            "telephone_number": "505-325-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDS",
        "first_name": "DEE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LPCC, NCC, CADS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "1740",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "13",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9368",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESB H",
            "identifier": "201079803",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.