Sandra Sue O'Donnell, LPC-MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC1941 Issued in TN

Practice address

2021 Richard Jones Rd
Suite 110
Nashville, TN 37215-2860

Phone

(615) 598-8315

NPI assigned

Apr 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sandra Sue Derreberry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124141718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 5TH AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372082723",
            "telephone_number": "615-390-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 RICHARD JONES RD",
            "address_2": "SUITE 110",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152860",
            "telephone_number": "615-598-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "SANDRA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC1941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "DERREBERRY",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew O'Connor, PT
• Michael Glenn O'Connor, M.D.
• Shelly O'Connor, LMSW
• Christopher Joseph O'Conor, M.D./PH.D.
• Heather W O'Dell, ANP
• Baylor Elizabeth O'Fionnain, PT, DPT, GCS
• Krista O'Grady, PA-C
• Jhanae O'Guin
• Alexis O'Halloran
• Audrey O'Hara, BCBA

• Professional Counselor in Nashville, TN
• Providers in Nashville, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.