Individual provider Active NPI

Sandra Lee Sverdrup, MA, LMHC, LCPC

  • Mental Health Counselor
  • Whitefish, MT
National Provider Identifier
1174763908
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BBH-LCPC-LIC42506 Issued in MT
Practice address
385 Kaeding Creek Rd
Whitefish, MT 59937-8135
Phone
(406) 270-4503
NPI assigned
Mar 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X BBH-LCPC-LIC42506 MT Primary

Addresses

Primary practice location

385 Kaeding Creek Rd
Whitefish, MT 59937-8135

Mailing address

704C E 13TH St. #423
Whitefish, MT 59937-2735
Phone (406) 270-4503

Other practice location 1

1600 E Olive St
Sound Mental Health
Seattle, WA 98122-2735
Phone (206) 302-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
BBH-LCPC-LIC42506MTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sverdrup Counseling Services CurrentSince Jan 8, 2024 Accepting new patients

Locations

704 E 13th St
Ste C
Whitefish, MT 59937

Organizations & group practices 1

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": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1174763908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704C E 13TH ST. #423",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372735",
            "telephone_number": "406-270-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 KAEDING CREEK RD",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599378135",
            "telephone_number": "406-270-4503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 E Olive St",
            "address_2": "Sound Mental Health",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981222735",
            "country_code": "US",
            "telephone_number": "206-302-2200",
            "fax_number": "206-302-2210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SVERDRUP",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MA, LMHC, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2020-09-25",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-LIC42506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

Verify at the official NPI Registry.