Active NPI
Rebecca Sands, LMHC
- Mental Health Counselor
- Fort Wayne, IN
National Provider Identifier
1316634793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39002654A
- Practice address
- 1415 Magnavox Way
Fort Wayne, IN 46804-1565 - Phone
- (260) 483-7207
- NPI assigned
- Apr 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39002654A | IN | Primary |
Addresses
Primary practice location
1415 Magnavox Way
Fort Wayne, IN 46804-1565
Mailing address
3195 N 481 W
Huntington, IN 46750-9022
Phone (610) 216-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39002654A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wieland Associates, Inc. | Current | Accepting new patients | |
| Becky Sands Counseling LLC | Current | Accepting new patients |
Locations
1415 Magnavox Way
Fort Wayne, IN 46804
Phone (260) 483-7207
1415 Magnavox Way
Ste 120
Fort Wayne, IN 46804
Phone (260) 483-7207
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Wayne, IN
- NPI 1558205153
-
- Psychologist
- Fort Wayne, IN
- NPI 1356547962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1316634793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3195 N 481 W",
"city": "HUNTINGTON",
"state": "IN",
"postal_code": "467509022",
"telephone_number": "610-216-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 MAGNAVOX WAY",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468041565",
"telephone_number": "260-483-7207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDS",
"first_name": "REBECCA",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-18",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39002654A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.