Sandra Bernadine Vance, M.ED., LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2364 Issued in WV

Practice address

174 Lmamh Center Road
Logan, WV 25601-0176

Phone

(304) 792-7130

Fax

(304) 792-7146

NPI assigned

Sep 25, 2018

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

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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.

• Boone Memorial Hospital, Inc

  • Multi-Specialty Clinic/Center
  • Madison, WV
  • NPI 1285686725
  Medicare reassignment NPD
• Boone Memorial Hospital, Inc

  • Critical Access Hospital
  • Madison, WV
  • NPI 1639135221
  Medicare reassignment NPD
• Logan Mingo Area Mental Health Inc

  • Primary Care Clinic/Center
  • Logan, WV
  • NPI 1427522218
  Medicare reassignment NPD
• Logan-Mingo Area Mental Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Logan, WV
  • NPI 1346395035
  Medicare reassignment NPD
• Boone Memorial Hospital, Inc

  • Rural Health Clinic/Center
  • Comfort, WV
  • NPI 1407421431
  NPD
• Boone Memorial Hospital, Inc

  • Psychiatry Physician
  • Madison, WV
  • NPI 1871141366
  NPD
• Logan-Mingo Area Mental Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Logan, WV
  • NPI 1598396202
  NPD
• Boone Memorial Hospital, Inc

  • Community/Behavioral Health Agency
  • Madison, WV
  • NPI 1184361347
  NPD (past)
• Boone Memorial Hospital, Inc

  • Rural Health Clinic/Center
  • Madison, WV
  • NPI 1578513032
  NPD (past)

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1174008239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PROSPERITY LANE, SUITE #204",
            "address_2": "PO BOX 176",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013743",
            "telephone_number": "304-792-7130",
            "fax_number": "304-896-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 LMAMH CENTER ROAD",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256010176",
            "telephone_number": "304-792-7130",
            "fax_number": "304-792-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "SANDRA",
        "middle_name": "BERNADINE",
        "name_prefix": "Mrs.",
        "credential": "M.ED., LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urgent Care, Inc - West Virginia
• Rajendra P Valiveti, M.D.
• Brandi Vance, FNP-C
• Brittany Lynn Vance
• Ronni Beth Vance, M.ED , NCC,LPC #2578
• Sarah Vance, MOTR/L
• Tommy Vance
• Trisha Ladawn Vance
• Violet Rose Vance
• Tammy Vannatter

• Professional Counselor in Logan, WV
• Providers in Logan, WV by specialty
• Professional Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.