Mary A Sanderfer

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701005672 Issued in VA

Practice address

289 Independence Blvd
Suite 312
Virginia Beach, VA 23462-5493

Phone

(757) 385-4537

Fax

(757) 385-4533

NPI assigned

Jan 28, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/9229a1fd-2cd1-41dc-9da8-258046291286/

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.

• City of Virginia Beach

  • Ambulance
  • Virginia Beach, VA
  • NPI 1013704246
  NPD (past)
• City of Virginia Beach

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Virginia Beach, VA
  • NPI 1861562472
  NPD (past)

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1275956153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2473 N LANDING RD",
            "address_2": "BLDG 23",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 INDEPENDENCE BLVD",
            "address_2": "SUITE 312",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625493",
            "telephone_number": "757-385-4537",
            "fax_number": "757-385-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERFER",
        "first_name": "MARY",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861562472",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juliet Christine Sancken, LPTA
• Sanctyouary
• Hilary Alexandra Morris Sandberg
• Sandbridge Therapy & Wellness, LLC
• Kristina Sandefur, LMSW
• Deirdre Sanderlin
• Deborah Lynne Sanders, LCSW
• Laquita Sanders
• Leah Dare Sanders
• Michelle Sanders

• Professional Counselor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.