Tracie Ellen Sandheinrich, LPC, MT-BC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2021012140 Issued in MO

Practice address

5220 Sand Rock Rd.
Smithton, IL 62285

NPI assigned

Jul 13, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Music Therapy St. Louis, LLC

  • Music Therapist
  • Saint Louis, MO
  • NPI 1457965121
  NPD Authorized official

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

{
    "created_epoch": "1720828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1427895697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 SAND ROCK RD.",
            "city": "SMITHTON",
            "state": "IL",
            "postal_code": "62285",
            "telephone_number": "618-660-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 SAND ROCK RD.",
            "city": "SMITHTON",
            "state": "IL",
            "postal_code": "62285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHEINRICH",
        "first_name": "TRACIE",
        "middle_name": "ELLEN",
        "credential": "LPC, MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-13",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2021012140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Rhiannan Petty, LMT
• Amy Y Pfingsten
• Progress to Success Speech Therapy PLLC
• Margaret Recker
• Abby Marie Reinneck, PHARMD.
• Christopher Schenewerk, MD
• Small Talk Speech Therapy, Inc.
• Smithton C.C.S.D. #130
• Southern Illinois Health Care Foundation, Inc.
• Lawrence Neal Stein, M.D.

• Mental Health Counselor in Smithton, IL
• Providers in Smithton, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2024; 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.