Individual provider Active NPI

Sandra Yuri-Mbelli Asongwe

  • Psychiatric/Mental Health Nurse Practitioner
  • Pontiac, MI
National Provider Identifier
1215509864
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704335172 Issued in MI
Practice address
44405 Woodward Ave
Pontiac, MI 48341-5023
Phone
(248) 858-3000
NPI assigned
Jul 13, 2021
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704335172 MI Primary
Primary Care Nurse Practitioner 363LP2300X 4704335172 MI

Addresses

Primary practice location

44405 Woodward Ave
Pontiac, MI 48341-5023

Mailing address

20836 Hall Rd # 124
Clinton Township, MI 48038-7227

Other practice location 1

42843 Richmond Dr
Sterling Heights, MI 48313-2945
Phone (908) 456-4801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CO, WA, KS, DC, ID6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20241008001094 MI Practitioner - Nurse Practitioner 3375074891 Reassigns benefits to 2 organizations
I20250423001578 CO Practitioner - Nurse Practitioner 3375074891 Reassigns benefits to 1 organization
I20250429003105 WA Practitioner - Nurse Practitioner 3375074891 Reassigns benefits to 1 organization
I20250501003220 KS Practitioner - Nurse Practitioner 3375074891 Reassigns benefits to 1 organization
I20250502002906 DC Practitioner - Nurse Practitioner 3375074891 Reassigns benefits to 1 organization
I20251202003561 ID Practitioner - Nurse Practitioner 3375074891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
International Therapy Solutions, PLLC CurrentSince Sep 26, 2024 Accepting new patients
Solace Sphere B-Health and Wellness LLC Psychiatric/Mental Health Current Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Sep 4, 2024 Accepting new patients
Grow Healthcare Group of Kansas PA Psychiatric/Mental Health CurrentSince Mar 25, 2025 Accepting new patients

Locations

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161

20836 Hall Rd
Clinton Twp, MI 48038
Phone (586) 416-2550

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

11480 E 13 Mile Rd
Warren, MI 48093
Phone (586) 216-9253

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Interoperability endpoints

  • Direct secure messaging: sasongwe192742@direct.trinity-health.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1215509864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20836 HALL RD # 124",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480387227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44405 WOODWARD AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415023",
            "telephone_number": "248-858-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42843 Richmond Dr",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483132945",
            "country_code": "US",
            "telephone_number": "908-456-4801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASONGWE",
        "first_name": "SANDRA",
        "middle_name": "YURI-MBELLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704335172",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704335172",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.