Elizabeth Dawn Sanders

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

180599 Issued in OH

Practice address

4300 Old Scioto TRL
Portsmouth, OH 45662-6642

Phone

(740) 351-9298

Fax

(740) 529-0553

NPI assigned

Jul 28, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Cardinal Treatment Centers Inc

  • Home Health Agency
  • Portsmouth, OH
  • NPI 1225724412
  NPD
• Cardinal Treatment Centers Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Portsmouth, OH
  • NPI 1215589197
  NPD (past)

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1396471579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 OLD SCIOTO TRL",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456626642",
            "telephone_number": "740-351-9298",
            "fax_number": "740-529-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 OLD SCIOTO TRL",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456626642",
            "telephone_number": "740-351-9298",
            "fax_number": "740-529-0553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "436 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456012343",
            "country_code": "US",
            "telephone_number": "740-309-3309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "712 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Ironton",
            "state": "OH",
            "postal_code": "456381853",
            "country_code": "US",
            "telephone_number": "740-302-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "ELIZABETH",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "180599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MedGen",
            "affiliation": "N",
            "endpointDescription": "Communications",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4300 Old Scioto Trl",
            "city": "Portsmouth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456626642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Johnathan Samples
• Christopher Sampson
• Johelen Jean Sampson, DO
• Reena P Samuel, M.D.
• Brian L Sanders, LSW
• Gordon Sanders
• Ericka Sandlin, LISW
• Ryan Francis Sandlin, D.O.
• Jessica Sarajlic
• Allison Sargent

• Addiction (Substance Use Disorder) Counselor in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.