Individual provider Active NPI

Marc Sand, MSED, LMFT

  • Mental Health Counselor
  • North Wales, PA
National Provider Identifier
1477040160
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MF000973 Issued in PA
Practice address
1120 Welsh Rd
North Wales, PA 19454-3794
Phone
(610) 544-2110
NPI assigned
Apr 18, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MF000973 PA Primary

Addresses

Primary practice location

1120 Welsh Rd
North Wales, PA 19454-3794

Mailing address

3708 Saint George Cir
Doylestown, PA 18902-1627
Phone (215) 348-1109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20240112002072 NY Practitioner - Marriage and Family Therapist 7810348950 Practice locations: Kingston, NY

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

113 Green St
Kingston, NY 12401-4421
Phone (845) 334-0990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MF000973PAMDMental Health Counselor
001609NYMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grunblatt Psychology and Counseling Offices, P.C. PastSince May 8, 2011 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": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1477040160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 SAINT GEORGE CIR",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189021627",
            "telephone_number": "215-348-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 WELSH RD",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194543794",
            "telephone_number": "610-544-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAND",
        "first_name": "MARC",
        "credential": "MSED, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "MF000973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wales, PA

Sources for this page

Verify at the official NPI Registry.