Sandra Decarolis, NCC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0014106 Issued in CO

Practice address

506 Malley Dr
Northglenn, CO 80233-1928

Phone

(303) 457-9576

Fax

(303) 457-9102

NPI assigned

Feb 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  Professional

  Medicare reassignment Care Compare group NPD
• Littleton Counseling Associates Inc

  • Clinical Social Worker
  • Littleton, CO
  • NPI 1215472832
  Medicare reassignment NPD
• Geo Reentry Services

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Denver, CO
  • NPI 1386161180
  NPD (past)

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1487154811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 MALLEY DR",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331928",
            "telephone_number": "303-457-9576",
            "fax_number": "303-335-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 MALLEY DR",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331928",
            "telephone_number": "303-457-9576",
            "fax_number": "303-457-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECAROLIS",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0014106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simone Nicole Davis
• Skylar Davis
• Devon Davison, BCBA
• Connor De Catron, LCSW
• Aluvia De la Rocha Dominguez
• Megan Marie Decorte, LCSW
• Donna Frances Degeorge, PHD
• Denali Dental
• Christine E Dennis, BA
• Varina C Denny

• Professional Counselor in Northglenn, CO
• Providers in Northglenn, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.