Sandra Holmes, MS, CSAC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2061-125 Issued in WI

Practice address

420 Dewey St
Wisconsin Rapids, WI 54494-4714

Phone

(715) 847-2772

NPI assigned

Jul 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sandra Skyles Former name

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Mental Health Counselor

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspirus Riverview Hospital and Clinics IncGroup PAC ID 4587658182, 166 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Aspirus Riverview Hospital & Clinics, Inc.

  • General Acute Care Hospital
  • Wisconsin Rapids, WI
  • NPI 1295754844
  Medicare reassignment Care Compare group NPD
• Aspirus Riverview Hospital & Clinics, Inc.

  • Rural Health Clinic/Center
  • Marshfield, WI
  • NPI 1124633870
  NPD
• Aspirus Riverview Hospital & Clinics, Inc.

  • Rural Health Clinic/Center
  • Nekoosa, WI
  • NPI 1477912038
  NPD

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1164084018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WESTHILL DR STE 100",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013795",
            "telephone_number": "715-847-2772",
            "fax_number": "715-847-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DEWEY ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944714",
            "telephone_number": "715-847-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "MS, CSAC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "2061-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "SKYLES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Higgins Ambulance Service, Inc.
• Thomas A Ho, MD
• Camen Hofer
• Cheryl Lynn Hoffman, COTA
• Tammy Hofmann, RN- BSN
• Hi Young Hong, MD
• Daniel John Horgan, MSW
• Hospitalist Medicine Physicians of Wisconsin Rapids LTD
• Heather Houston, SLP
• Megan Hovre, COTA

• Professional Counselor in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.