Active NPI
Sandra Vander Linde, LMFT
- Marriage & Family Therapist
- Chapel Hill, NC
National Provider Identifier
1124051610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 763
- Practice address
- 180 Providence Rd Ste 1a
Chapel Hill, NC 27514-2206 - Phone
- (919) 641-1211
- NPI assigned
- Jul 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 763 | NC | Primary |
Addresses
Primary practice location
180 Providence Rd Ste 1a
Chapel Hill, NC 27514-2206
Mailing address
180 Providence Rd Ste 1a
Chapel Hill, NC 27514-2206
Phone (919) 641-1211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142KT | Other | NC | PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 14, 2024 through Feb 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 763 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522368000000",
"number": "1124051610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 PROVIDENCE RD STE 1A",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275142206",
"telephone_number": "919-641-1211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 PROVIDENCE RD STE 1A",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275142206",
"telephone_number": "919-641-1211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDER LINDE",
"first_name": "SANDRA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2018-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "142KT",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.