Sandra M Underwood, M.S., LPC, LAMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1701231 Issued in AR

Practice address

615 N Walton Blvd
Suite M
Bentonville, AR 72712-4546

Phone

(479) 270-2806

Fax

(870) 455-4485

NPI assigned

Oct 28, 2009

Last updated

Jan 31, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Clear Vision Counseling LLC

  • Mental Health Counselor
  • Bentonville, AR
  • NPI 1699212613
  NPD (past) Authorized official

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1407182272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N WALTON BLVD",
            "address_2": "SUITE M",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124546",
            "telephone_number": "479-270-2806",
            "fax_number": "870-455-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N WALTON BLVD",
            "address_2": "SUITE M",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124546",
            "telephone_number": "479-270-2806",
            "fax_number": "870-455-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "SANDRA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.S., LPC, LAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1701231",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AR",
            "license": "A1204003",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twin Rivers Respiratory Care, Inc. (AeroCare Home Medical)
• Bailey Uldrich
• Susan Kay Umbaugh, OTRL
• Unbridled Holdings LLC
• Alanna Renee Underwood
• Unified Medical Equipment Solutions, Inc. (Unified Medical Equipment Solutions Bentonville)
• United Woundcare Institute Arkansas PLLC
• University of Arkansas for Medical Sciences
• University of Arkansas for Medical Sciences
• University of Arkansas for Medical Sciences

• Professional Counselor in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.