Active NPI
Ellana Sanders, MT- BC LCAT, CCBT
- Mental Health Counselor
- Bayside, NY
National Provider Identifier
1437428885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 000817-1
- Practice address
- 3850 Bell Blvd
Suite a
Bayside, NY 11361-2168 - Phone
- (917) 520-7476
- NPI assigned
- Dec 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 000817-1 | NY | Primary |
| Music Therapist | 225A00000X | BC | NY |
Addresses
Primary practice location
3850 Bell Blvd
Suite a
Bayside, NY 11361-2168
Mailing address
3850 Bell Blvd
Suite a
Bayside, NY 11361-2168
Phone (917) 520-7476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000817-1 | Other | NYS OFFICE OF THE PROFFESSIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000817-1 | NY | MD | Mental Health Counselor |
| BC | NY | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480291200000",
"number": "1437428885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 BELL BLVD",
"address_2": "SUITE A",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612168",
"telephone_number": "917-520-7476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 BELL BLVD",
"address_2": "SUITE A",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612168",
"telephone_number": "917-520-7476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "ELLANA",
"credential": "MT- BC LCAT, CCBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-14",
"last_updated": "2016-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "000817-1",
"primary": true
},
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "NY",
"license": "BC",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS OFFICE OF THE PROFFESSIONS",
"identifier": "000817-1",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.