Active NPI
Kristen Sanderson, LMHC
- Mental Health Counselor
- Bronx, NY
National Provider Identifier
1457706780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 006160-1
- Practice address
- 886 Westchester Ave
Bronx, NY 10459-4010 - Phone
- (718) 275-6010
- Fax
- (718) 275-6062
- NPI assigned
- Apr 23, 2016
- 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 | 006160-1 | NY | Primary |
Addresses
Primary practice location
886 Westchester Ave
Bronx, NY 10459-4010
Mailing address
886 Westchester Ave
Bronx, NY 10459-4010
Phone (718) 585-5544
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 |
|---|---|---|---|
| 006160-1 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
| St. Ann'S Corner of Harm Reduction | Past | Accepting new patients |
Interoperability endpoints
- kristensanderson@tdh.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
-
- Community/Behavioral Health Agency
- Bronx, NY
- NPI 1538547476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475366400000",
"number": "1457706780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "886 WESTCHESTER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104594010",
"telephone_number": "718-585-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "886 WESTCHESTER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104594010",
"telephone_number": "718-275-6010",
"fax_number": "718-275-6062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERSON",
"first_name": "KRISTEN",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-23",
"last_updated": "2016-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "006160-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.