Organization Active NPI

Shelly D Sanders LCSW, LLC

  • Mental Health Counselor
  • Coeur d'Alene, ID
National Provider Identifier
1487503850
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SHELLY D SANDERS LCSW, LLC
Practice address
2454 W Grenoble LN
Coeur D Alene, ID 83815-0481
Phone
(208) 964-2113
Fax
(208) 964-2113
NPI assigned
Jan 27, 2026
Last updated
Jan 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Shelly D Sanders, SANDERSNPI 1396274056
Title
Owner, LCSW
Phone
(208) 964-2113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

2454 W Grenoble LN
Coeur D Alene, ID 83815-0481

Mailing address

2454 W Grenoble LN
Coeur D Alene, ID 83815-0481
Phone (208) 964-2113

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1487503850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 W GRENOBLE LN",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838150481",
            "telephone_number": "208-964-2113",
            "fax_number": "208-964-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 W GRENOBLE LN",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838150481",
            "telephone_number": "208-964-2113",
            "fax_number": "208-964-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLY D SANDERS LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER, LCSW",
        "authorized_official_telephone_number": "208-964-2113",
        "authorized_official_credential": "SANDERS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.