NPIMap

Organization Active NPI

Sandbox Child and Family Counseling, PLLC

Doing business as Sandbox Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Selah, WA
National Provider Identifier
1265952113
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SANDBOX CHILD AND FAMILY COUNSELING, PLLC
Doing business as
Sandbox Counseling
Practice address
107 W Orchard Ave
Selah, WA 98942-1329
Phone
(509) 833-6669
Fax
(206) 641-7233
NPI assigned
Jun 22, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Magen Holgate, MSWNPI 1699092924
Title
Owner
Phone
(509) 833-6669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X LW60421748 WA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

107 W Orchard Ave
Selah, WA 98942-1329

Mailing address

107 W Orchard Ave
Selah, WA 98942-1329
Phone (509) 833-6669

Other names 1

  • Sandbox Counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265952113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W ORCHARD AVE",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421329",
            "telephone_number": "509-833-6669",
            "fax_number": "206-641-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W ORCHARD AVE",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421329",
            "telephone_number": "509-833-6669",
            "fax_number": "206-641-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDBOX CHILD AND FAMILY COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HOLGATE",
        "authorized_official_first_name": "MAGEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-833-6669",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60421748",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandbox Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Selah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.