Sandra Lee Elder, M.S., L.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC007015 Issued in PA

Practice address

2643 Huntingdon Pike
Huntingdon Valley, PA 19006-5109

Phone

(267) 474-0789

NPI assigned

Jan 16, 2009

Last updated

Feb 15, 2017By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• Huntingdon Valley Wellness

  • Community/Behavioral Health Agency
  • Huntingdon Valley, PA
  • NPI 1467985077
  Authorized official Same address or phone

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1346487022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2643 HUNTINGDON PIKE",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065109",
            "telephone_number": "267-474-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2643 HUNTINGDON PIKE",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065109",
            "telephone_number": "267-474-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "M.S., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC007015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "46-3351214",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.