Jacob Andrew Sandoval, PHD, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0002432 Issued in CO

Practice address

1500 N Grant St Ste R
Denver, CO 80203-1859

Phone

(319) 855-7899

Fax

(303) 496-0786

NPI assigned

Jul 6, 2020

Last updated

Apr 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IA, CO2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Sandoval Therapy and Consulting LLC

  dba Radiant Pathways Counseling & Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Denver, CO
  • NPI 1871273375

  IA, Marriage & Family Therapist

  Medicare reassignment NPD Authorized official
• Life Connection, L.C.

  • Early Intervention Provider Agency
  • Cedar Rapids, IA
  • NPI 1538300892
  NPD (past)

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1255959391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6732 W COAL MINE AVE",
            "address_2": "PMB 139",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801234573",
            "telephone_number": "319-855-7899",
            "fax_number": "303-496-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N GRANT ST STE R",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031859",
            "telephone_number": "319-855-7899",
            "fax_number": "303-496-0786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 E Enterprise Ave Ste 333",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549137889",
            "country_code": "US",
            "telephone_number": "319-855-7899",
            "fax_number": "303-496-0786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 E 5th St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507034759",
            "country_code": "US",
            "telephone_number": "319-855-7899",
            "fax_number": "303-496-0786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "JACOB",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-06",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "100407",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "0002432",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "2222-124",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100304259",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0138911",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000228083",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tirzah Sandoval-Labadie, R.N.
• Claire Elise Sandoval, BS
• Emiko Kimura Sandoval
• Esteban Sandoval, O.D.
• Gabriel Joesph Sandoval, B.A.
• Karen Sandoval
• Kelly Sandoval, CAS
• Kevin Christopher Sandoval
• Lovvie Sandoval
• Natalie June Sandoval

• Marriage & Family Therapist in Denver, CO
• Providers in Denver, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.