Sandi Dee Henderson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2632 Foothill Blvd Ste 205
Rock Springs, WY 82901-4758

Phone

(307) 212-3284

NPI assigned

Dec 27, 2021

Last updated

Nov 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Jackson Hole Behavioral Services, LLC

  dba Peak Behavioral Services, LLC

  • Early Intervention Provider Agency
  • Laramie, WY
  • NPI 1881071355
  NPD

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1295495638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20310",
            "address_2": "UNIT# 55984",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "82003",
            "telephone_number": "307-212-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 FOOTHILL BLVD STE 205",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014758",
            "telephone_number": "307-212-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "SANDI",
        "middle_name": "DEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2022-11-28",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health West, Inc. (Health West Rock Springs)
• Jacob Heath, DDS
• Laura J Heitz, NP
• Helping Boundaries Widen, LLC
• Andrea Hemmert
• Lisa Ahmed Herrera
• High Country Hearing Centers LLC (High Country Hearing Centers)
• High Plains Physical Therapy Limited Partnership
• High Point Counseling
• High Point Counseling

• Behavior Technician in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Behavior Technician in Wyoming

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