Individual provider Active NPI

Adrienne Sardy, M.A.

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1407360704
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0016562 Issued in CO
Practice address
411 Lakewood Cir Ste A102
Colorado Springs, CO 80910-2667
Phone
(719) 302-3175
NPI assigned
Nov 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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 LPC.0016562 CO Primary

Addresses

Primary practice location

411 Lakewood Cir Ste A102
Colorado Springs, CO 80910-2667

Mailing address

7825 Pine Oaks LN
Colorado Springs, CO 80926-9776
Phone (505) 310-0025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 18, 2025 through Dec 18, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC.0016562COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Be Well Counseling Services, LLC Past Accepting new patients

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": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1407360704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7825 PINE OAKS LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809269776",
            "telephone_number": "505-310-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAKEWOOD CIR STE A102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809102667",
            "telephone_number": "719-302-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDY",
        "first_name": "ADRIENNE",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-22",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0016562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.