Sarah Nicole Sandstrom, MA, CAC-II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

7594 Issued in CO

Practice address

560 S Bond Dr
Pueblo, CO 81007-1697

Phone

(719) 565-8189

NPI assigned

Apr 2, 2012

Last updated

Apr 2, 2012By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1497011613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 S BOND DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810071697",
            "telephone_number": "719-565-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 S BOND DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810071697",
            "telephone_number": "719-565-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDSTROM",
        "first_name": "SARAH",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MA, CAC-II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "7594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leticia Sandoval
• Melanie Fleur Sandoval, NP
• Melissa L Sandoval
• Mindy Lea Sandoval
• Veronica Sandoval, ANP
• Tyleen Irene Sandstrom, BSW
• Sangre de Cristo Community Care Joni Fair Hospice House (Sangre de Cristo Community Care)
• Sangre de Cristo Hospice & Palliative Care (Sangre de Cristo Community Care)
• Sangre de Cristo Hospice & Palliative Care (Sangre de Cristo Community Care)
• Sangre de Cristo Internal Medicine Associates

• Addiction (Substance Use Disorder) Counselor in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.