Individual provider Active NPI

Andrea Sandles, M.A., LLPC

  • Counselor
  • Royal Oak, MI
National Provider Identifier
1255958450
Registry record updated Jul 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401016919 Issued in MI
Practice address
1500 N Stephenson Hwy Ste 240
Royal Oak, MI 48067-1584
Phone
(248) 933-7385
NPI assigned
Jul 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X
Counselor 101Y00000X 6401016919 MI Primary

Addresses

Primary practice location

1500 N Stephenson Hwy Ste 240
Royal Oak, MI 48067-1584

Mailing address

1619 Camden St
Ferndale, MI 48220-2671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20260409001651 MI Practitioner - Mental Health Counselor 6709351513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

215 E Big Beaver Rd
Troy, MI 48083-1216

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6401016919MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Maples Creative Counseling LLC Counselor CurrentSince Apr 2, 2026 Accepting new patients

Locations

2835 Bagley St
Ste 825
Detroit, MI 48216
Phone (313) 451-3315

215 E Big Beaver Rd
Ste 100
Troy, MI 48083
Phone (313) 451-3315

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": "1593734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593734400000",
    "number": "1255958450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 CAMDEN ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N STEPHENSON HWY STE 240",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671584",
            "telephone_number": "248-933-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDLES",
        "first_name": "ANDREA",
        "credential": "M.A., LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-03",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401016919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.