Cheryl Lynne Sandell

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1717 W Northern Ave Ste 101
Phoenix, AZ 85021-5400

Phone

(602) 254-9701

Fax

(602) 755-1544

NPI assigned

Mar 14, 2023

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

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 and National Provider Directory roles.

• The Potter'S House Substance Abuse Center

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1225147960
  NPD

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1326749565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W NORTHERN AVE STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215400",
            "telephone_number": "602-254-9701",
            "fax_number": "602-755-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W NORTHERN AVE STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215400",
            "telephone_number": "602-254-9701",
            "fax_number": "602-755-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDELL",
        "first_name": "CHERYL",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sand & Stone Retreat LLC
• Bruce Sand, DO
• Emily Shannon Sandahl, FNP-C
• Katherine Sandau, FNP-C
• Kathleen Sue Sandberg, DDS
• Traci Sandell, COTA/L
• Dena Sander, MSW LISAC
• Ansley Blair Sanders
• Audrey Sanders, BHT
• Beverly Jean Sanders, R.N.

• Addiction (Substance Use Disorder) Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.