Active NPI
Amy R Sandow, LMHCA, LICSWA, SUDPT
- Mental Health Counselor
- Spokane, WA
National Provider Identifier
1164183901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61151125
- Practice address
- 11414 N Rockaway Dr
Spokane, WA 99218-2744 - Phone
- (509) 939-3661
- NPI assigned
- Jan 4, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SC61192477 | WA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CO61134799 | WA | |
| Mental Health Counselor | 101YM0800X | MC61151125 | WA | Primary |
Addresses
Primary practice location
11414 N Rockaway Dr
Spokane, WA 99218-2744
Mailing address
11414 N Rockaway Dr
Spokane, WA 99218-2744
Phone (509) 939-3661
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amy.sandow@seattlepsychology.com | Seattle Psychology, PLLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO61134799 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| MC61151125 | WA | MD | Mental Health Counselor |
| SC61192477 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1164183901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11414 N ROCKAWAY DR",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992182744",
"telephone_number": "509-939-3661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11414 N ROCKAWAY DR",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992182744",
"telephone_number": "509-939-3661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOW",
"first_name": "AMY",
"middle_name": "R",
"credential": "LMHCA, LICSWA, SUDPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-04",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SC61192477",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CO61134799",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61151125",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amy.sandow@seattlepsychology.com",
"affiliation": "Y",
"affiliationName": "Seattle Psychology, PLLC",
"address_1": "1307 N 45th St",
"address_2": "suite 200",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981036741",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.