Sandra Carlson & Associates

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SANDRA CARLSON & ASSOCIATES

Practice address

682 W Boughton Rd Ste D
Bolingbrook, IL 60440-2199

Phone

(630) 771-0144

Fax

(630) 771-9520

NPI assigned

Feb 1, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra Carlson III, LCPCNPI 1376612168

Title

President

Phone

(630) 771-0144

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Elizabeth Carlson, ED.D. LCPC , RN

  • Mental Health Counselor
  • Bolingbrook, IL
  • NPI 1376612168
  NPD (past) Authorized official
• Christine Eve Walawander, MSED, NCC, LCPC

  • Mental Health Counselor
  • Bolingbrook, IL
  • NPI 1952470759
  NPD (past)

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1184802167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 W BOUGHTON RD STE D",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402199",
            "telephone_number": "630-771-0144",
            "fax_number": "630-771-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 W BOUGHTON RD STE D",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402199",
            "telephone_number": "630-771-0144",
            "fax_number": "630-771-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA CARLSON & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-771-0144",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09932036",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott M Sallin, PT
• Varsha Sambare, M.D.
• Nooshin Sanaei, DMD
• Paulina Sanchez-Santillan, MS CCC-SLP/L
• Ama Sanders, RN
• Sharon Santora
• Teena Marie Santos
• Sara Retails Store Limited
• Deborah Ann Saulters, M.A. CCC-SLP
• Alison Saum, DPT

• Mental Health Counselor in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.