Isabella Lucia Sandusky, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC61507641 Issued in WA

Practice address

3157 E 17TH Ave
Spokane, WA 99223-5136

Phone

(509) 838-8066

NPI assigned

Mar 7, 2024

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

Other names 1

• Isabella Lucia Bricker Former name

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.

• Greenleaf Psychology

  • Point of Service
  • Spokane, WA
  • NPI 1619420379
  NPD (past)

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1437917226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 W NORTHWEST BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052029",
            "telephone_number": "253-878-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3157 E 17TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992235136",
            "telephone_number": "509-838-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDUSKY",
        "first_name": "ISABELLA",
        "middle_name": "LUCIA",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61507641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISABELLA",
            "last_name": "BRICKER",
            "middle_name": "LUCIA",
            "credential": "LMHCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rosa Sandoval
• Amy R Sandow, LMHCA, LICSWA, SUDPT
• Eryka Latrisse Sandridge, LMHC-FL, LMHCA-WA
• Sebring Oliver Sands, PA-C
• David Daniel Sandstrom, L.M.P.
• Joseph H. Sanker
• Matthew Sanson
• Thomas Michael Sant, MD
• Micayla Mari Santa Cruz
• Wendy Ann Santarosa

• Mental Health Counselor in Spokane, WA
• Providers in Spokane, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.