Individual provider Active NPI

Sandra Kaye, LPC MS

  • Mental Health Counselor
  • Berkeley Springs, WV
National Provider Identifier
1386795508
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1719 Issued in WV
Practice address
181 Sylvia Lane
Berkeley Springs, WV 25411-0323
Phone
(304) 258-4239
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1719 WV
Mental Health Counselor 101YM0800X 1719 WV Primary

Addresses

Primary practice location

181 Sylvia Lane
Berkeley Springs, WV 25411-0323

Mailing address

PO Box 323
Berkeley Springs, WV 25411-0323
Phone (304) 258-4239

Other names 1

  • Sandra Kay Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20240515000040 WV Practitioner - Mental Health Counselor 1557765716 Practice locations: Berkeley Springs, WV

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

181 Sylvia LN
Berkeley Springs, WV 25411-1130
Phone (540) 336-8025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1719WVMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1386795508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 323",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254110323",
            "telephone_number": "304-258-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 SYLVIA LANE",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254110323",
            "telephone_number": "304-258-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYE",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "LPC MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WV",
            "license": "1719",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "1719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Berkeley Springs, WV

Sources for this page

Verify at the official NPI Registry.