Active NPI
Andrea Sandles, M.A., LLPC
- Counselor
- Royal Oak, MI
National Provider Identifier
1255958450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401016919
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401016919 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maples Creative Counseling LLC | Counselor | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.