Michelle Sanderson

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MICHELLE SANDERSON

Practice address

7900 Dragoon Rd NW
Albuquerque, NM 87114-4475

Phone

(505) 228-1670

NPI assigned

Apr 2, 2021

Organization subpart

No

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

Authorized official

Name

Michelle Sanderson, LMHCNPI 1780058115

Title

Owner

Phone

(505) 228-1670

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Sanderson, LPCC

  • Professional Counselor
  • Albuquerque, NM
  • NPI 1780058115
  NPD Authorized official

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1497334023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 DRAGOON RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144475",
            "telephone_number": "505-228-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 DRAGOON RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144475",
            "telephone_number": "505-228-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE SANDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-228-1670",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan K. Michalske, APRN BC
• David M Michalski, OTR/L
• Koryn Kiesling Michaud, FNP-C
• Taylor Michaud
• John Joseph Michelitch
• Evelyn Michelman
• Lisa Jill Mick, OT
• Robert Boyd Mickelsen II, MD
• Jessica Mickey
• Kathryn Ann Mickey, CNP

• Multi-Specialty Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Multi-Specialty Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.