Individual provider Active NPI

Sandi Yvonne Squicquero, LPC

  • Mental Health Counselor
  • Windsor, CO
National Provider Identifier
1356426696
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4076 Issued in CO
Practice address
1180 Main St
#5B
Windsor, CO 80550-4709
Phone
(970) 674-0191
Fax
(970) 674-0221
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4076 CO Primary

Addresses

Primary practice location

1180 Main St
#5B
Windsor, CO 80550-4709

Mailing address

1180 Main St
#5B
Windsor, CO 80550-4709
Phone (970) 674-0191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240415000383 CO Practitioner - Mental Health Counselor 4880033562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1180 Main St
Unit 5B
Windsor, CO 80550-4753
Phone (970) 674-0191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
4076COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Hypnosis Center Inc Mental Health CurrentSince Feb 14, 2024 Accepting new patients

Locations

1180 Main St
Unit 5B
Windsor, CO 80550
Phone (970) 674-0191

Organizations & group practices 1

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356426696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 MAIN ST",
            "address_2": "#5B",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805504709",
            "telephone_number": "970-674-0191",
            "fax_number": "970-674-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 MAIN ST",
            "address_2": "#5B",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805504709",
            "telephone_number": "970-674-0191",
            "fax_number": "970-674-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUICQUERO",
        "first_name": "SANDI",
        "middle_name": "YVONNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "4076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CO

Sources for this page

Verify at the official NPI Registry.