Active NPI
Marianne Sandstrom, MA
- Mental Health Counselor
- Wheat Ridge, CO
National Provider Identifier
1457483885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2839
- Practice address
- 4891 Independence St Ste 165
Wheat Ridge, CO 80033-6714 - Phone
- (303) 456-0600
- Fax
- (303) 456-0607
- NPI assigned
- Mar 12, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2839 | CO | Primary |
Addresses
Primary practice location
4891 Independence St Ste 165
Wheat Ridge, CO 80033-6714
Mailing address
6083 Annapurna Dr
Evergreen, CO 80439-5313
Phone (719) 580-0808
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2839 | CO | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Connections, LLC | Mental Health | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515974400000",
"number": "1457483885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6083 ANNAPURNA DR",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804395313",
"telephone_number": "719-580-0808",
"fax_number": "303-456-0607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4891 INDEPENDENCE ST STE 165",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336714",
"telephone_number": "303-456-0600",
"fax_number": "303-456-0607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDSTROM",
"first_name": "MARIANNE",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2018-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "2839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.