Antoinette Sandoval-Carpenter, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0080401 Issued in NM

Practice address

1717 Gros Ventre Dr NE
Rio Rancho, NM 87144-7783

Phone

(505) 350-6643

NPI assigned

Feb 24, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Sandoval Carpenter Counseling & Wellness LLC

  • Mental Health Counselor
  • Rio Rancho, NM
  • NPI 1558618942
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1447226030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 UNSER BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246300",
            "telephone_number": "505-896-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 GROS VENTRE DR NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871447783",
            "telephone_number": "505-350-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL-CARPENTER",
        "first_name": "ANTOINETTE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0080401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86284720",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandia View Wellness LLC
• Sandia Vista Home Care LLC
• Maelene Sandia
• Sandoval Academy of Bilingual Education
• Sandoval Carpenter Counseling & Wellness LLC
• Cheyenne E Sandoval-Moore
• Elizabeth Sandoval
• Erica Adelle Sandoval
• Kathryn Sandoval
• Maria Catarina Sandoval, LISW,LCSW

• Professional Counselor in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.