Active NPI
Gabrielle Natasha Sandor, LCAS-A
- Addiction (Substance Use Disorder) Counselor
- Winston Salem, NC
National Provider Identifier
1447713227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCAS-24757
- Practice address
- 326 N Spring St
Winston Salem, NC 27101-2722 - Phone
- (336) 631-1948
- Fax
- (336) 631-1948
- NPI assigned
- Apr 9, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-24757 | NC | Primary |
Addresses
Primary practice location
326 N Spring St
Winston Salem, NC 27101-2722
Mailing address
1401 Coventry Woods CT
Greensboro, NC 27405-3769
Phone (336) 501-4065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCAS-24757 | Other | NC | NCSAPPB |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | gabrielle.sandor.lpca@gmail.com | Direct |
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 |
|---|---|---|---|
| LCAS-24757 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Counseling & Consulting Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Winston Salem, NC
- NPI 1164089207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1447713227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 COVENTRY WOODS CT",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274053769",
"telephone_number": "336-501-4065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 N SPRING ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271012722",
"telephone_number": "336-631-1948",
"fax_number": "336-631-1948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOR",
"first_name": "GABRIELLE",
"middle_name": "NATASHA",
"credential": "LCAS-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-09",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-24757",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCSAPPB",
"identifier": "LCAS-24757",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "gabrielle.sandor.lpca@gmail.com",
"affiliation": "N",
"endpointDescription": "E-mail",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "326 N Spring St",
"city": "Winston Salem",
"state": "NC",
"country_code": "US",
"postal_code": "271012722",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.