Individual provider Active NPI

Nicole Rae Sandlass, CASAC

  • Addiction (Substance Use Disorder) Counselor
  • Utica, NY
National Provider Identifier
1346981008
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
32336 Issued in NY
Practice address
500 Whitesboro St
Utica, NY 13502-3015
Phone
(315) 724-5168
NPI assigned
Apr 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 32336 NY Primary

Addresses

Primary practice location

500 Whitesboro St
Utica, NY 13502-3015

Mailing address

500 Whitesboro St
Utica, NY 13502-3015
Phone (315) 724-5168

Other identifiers 1

IdentifierTypeStateIssuer
271578278MedicaidNY

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

LicenseStateTypeSpecialty
32336NYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Recovery Services Addiction (Substance Use Disorder) PastSince Apr 1, 2022 Accepting new patients
Insight House Chemical Dependency Services Inc PastSince Mar 31, 2024 Accepting new patients
Helio Health, Inc. PastSince Mar 31, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1346981008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WHITESBORO ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135023015",
            "telephone_number": "315-724-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WHITESBORO ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135023015",
            "telephone_number": "315-724-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDLASS",
        "first_name": "NICOLE",
        "middle_name": "RAE",
        "credential": "CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "32336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271578278",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.