Liza Sanderson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

435 Issued in WY

Practice address

228 W 200 S Ste 2E
Kamas, UT 84036-9010

Phone

(801) 360-6955

NPI assigned

Sep 22, 2009

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 8

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Expansive Horizons Counseling & Psychological Services, LLC

  • Mental Health Counselor
  • Kamas, UT
  • NPI 1922550136
  NPD (past) Authorized official
• LS Counseling

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rawlins, WY
  • NPI 1568721298

  Counselor

  NPD (past) Authorized official

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1447584511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 ASH CT",
            "city": "KAMAS",
            "state": "UT",
            "postal_code": "840369275",
            "telephone_number": "435-640-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W 200 S STE 2E",
            "city": "KAMAS",
            "state": "UT",
            "postal_code": "840369010",
            "telephone_number": "801-360-6955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Edinburgh St",
            "address_purpose": "LOCATION",
            "city": "Rawlins",
            "state": "WY",
            "postal_code": "823014506",
            "country_code": "US",
            "telephone_number": "307-324-8820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 N Main St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Heber City",
            "state": "UT",
            "postal_code": "840321671",
            "country_code": "US",
            "telephone_number": "801-360-6955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "LIZA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WY",
            "license": "435",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "WY",
            "license": "435",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "435",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "435",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "1149",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "435",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "WY",
            "license": "435",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "WY",
            "license": "435",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128433900",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Miller, FNP-C
• Caitlin Page
• Madelyn S. Palmer, MD
• Ammon Michael Pitt, DDS
• Phyllis A. Rehn, LPC, CMHC
• Travis Sanderson
• Valerie Savoie, LCSW
• Nicholas Paul Sheahan
• Skin Savvy Med Spa, PC
• Jeffery Dan Smith, RPH

• Professional Counselor in Kamas, UT
• Providers in Kamas, UT by specialty
• Professional Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.