Sandra Stasko, MS LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401014082 Issued in MI

Practice address

12265 James St
Holland, MI 49424-8613

Phone

(616) 494-5600

NPI assigned

Feb 11, 2014

Sex

Female

Sole proprietor

No

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

Enrolled in MI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Key2Happiness Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Coopersville, MI
  • NPI 1720739188
  Medicare reassignment NPD Authorized official
• North Kent Guidance Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grand Rapids, MI
  • NPI 1518973858
  NPD (past)

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1437573433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13246 84TH AVE",
            "city": "COOPERSVILLE",
            "state": "MI",
            "postal_code": "494049733",
            "telephone_number": "720-935-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12265 JAMES ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248613",
            "telephone_number": "616-494-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13246 84th Ave",
            "address_purpose": "LOCATION",
            "city": "Coopersville",
            "state": "MI",
            "postal_code": "494049733",
            "country_code": "US",
            "telephone_number": "616-987-0122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1145 W Randall St Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Coopersville",
            "state": "MI",
            "postal_code": "494041393",
            "country_code": "US",
            "telephone_number": "616-361-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STASKO",
        "first_name": "SANDRA",
        "credential": "MS LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401014082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Marshall Stark, PT
• Lashia Starks
• Lindsay A Starks, PT, DPT
• Clara Starr, LMSW, LCSW
• Megan Stasiak, CCC-SLP
• Maude Statler, LPC
• David John Stearns, LPTA
• Robert James Steck, D.C.
• Sutton Steensma, LLMSW
• Victor R Steinbach, MSW, LMSW

• Mental Health Counselor in Holland, MI
• Providers in Holland, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.