Individual provider Active NPI

Sandra A Loomis, LMHC

  • Mental Health Counselor
  • Sahuarita, AZ
National Provider Identifier
1154617090
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-21135 Issued in AZ
Practice address
637 W Calle Las Varitas
Sahuarita, AZ 85629-1241
Phone
(520) 451-1427
NPI assigned
Jun 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMHC11168 MA
Professional Counselor 101YP2500X
Mental Health Counselor 101YM0800X LPC-21135 AZ Primary

Addresses

Primary practice location

637 W Calle Las Varitas
Sahuarita, AZ 85629-1241

Mailing address

637 W Calle Las Varitas
Sahuarita, AZ 85629-1241
Phone (520) 451-1427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250130001200 MA Practitioner - Mental Health Counselor 1254860646 Reassigns benefits to 1 organization
I20250130003875 AZ Practitioner - Mental Health Counselor 1254860646 Reassigns benefits to 2 organizations
I20250131000979 AZ Practitioner - Mental Health Counselor 1254860646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians
Brightside Medical PAGroup PAC ID 3678948809, 92 clinicians

Practice addresses (Care Compare)

2261 Market St
San Francisco, CA 94114-1612

2550 W Union Hills Dr
Phoenix, AZ 85027-5163
Phone (323) 205-7088

3104 E Camelback Rd
Suite 2937
Phoenix, AZ 85016-4502
Phone (415) 360-3348

637 W Calle Las Varitas
Sahuarita, AZ 85629-1241

66 E Flagler St
Miami, FL 33130-1807

800 Westover Dr
Suite 13619
Sanford, NC 27330-8941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-21135AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Dec 24, 2024 Accepting new patients
Brightside Medical, P.a. CurrentSince Feb 1, 2025 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Jan 28, 2025 Accepting new patients

Locations

2550 W Union Hills Dr
Phoenix, AZ 85027
Phone (602) 358-0224

3104 E Camelback Rd
Phoenix, AZ 85016
Phone (888) 888-9930

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1154617090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 W CALLE LAS VARITAS",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856291241",
            "telephone_number": "520-451-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 W CALLE LAS VARITAS",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856291241",
            "telephone_number": "520-451-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "SANDRA",
        "middle_name": "A",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC11168",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-21135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sahuarita, AZ

Sources for this page

Verify at the official NPI Registry.