Organization Active NPI

Alternative Creative Therapy

Doing business as Sandi Hodges

  • Health Maintenance Organization
  • Rocky Mount, VA
National Provider Identifier
1548424831
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
0701003548 Issued in VA
Legal business name
ALTERNATIVE CREATIVE THERAPY
Doing business as
Sandi Hodges
Practice address
2600 Old Franklin Tpke
Rocky Mount, VA 24151-5676
Phone
(540) 484-6996
Fax
(540) 484-6935
NPI assigned
Jul 15, 2008
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Ms. Sandi Gale Hodges, LPCNPI 1518943406
Title
Owner/Therapist
Phone
(540) 484-6996

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 0701003548 VA
Health Maintenance Organization 302R00000X 0701003548 VA Primary
Preferred Provider Organization 305R00000X 0701003548 VA
Point of Service 305S00000X 0701003548 VA

Addresses

Primary practice location

2600 Old Franklin Tpke
Rocky Mount, VA 24151-5676

Mailing address

2600 Old Franklin Tpke
Rocky Mount, VA 24151-5676
Phone (540) 484-6996

Other identifiers 13

IdentifierTypeStateIssuer
1518943406MedicaidVA
600059283OtherVAMEGELLAN
1332930OtherVACOMPSYCH
1518943406OtherVAVIRGINIA PREMIER
0701003548OtherVAVIRGINIA STATE BOARD OF COUNSELING
1518643406OtherVAFAMIS
2117903OtherMAMIS
247544OtherVABLUE CROSS/BLUE SHIELD
247544OtherVASOUTHEASTERN SERVICES
2190356OtherVACIGNA
62-02411OtherVAUNITED BEHAVIORAL
11526350OtherVACAQH
4634562OtherVASENTARA

Other names 1

  • Sandi Hodges Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alternative Creative Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1548424831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 OLD FRANKLIN TPKE",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241515676",
            "telephone_number": "540-484-6996",
            "fax_number": "540-484-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 OLD FRANKLIN TPKE",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241515676",
            "telephone_number": "540-484-6996",
            "fax_number": "540-484-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE CREATIVE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "SANDI",
        "authorized_official_middle_name": "GALE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "540-484-6996",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "VA",
            "license": "0701003548",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "VA",
            "license": "0701003548",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "0701003548",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "VA",
            "license": "0701003548",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518943406",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEGELLAN",
            "identifier": "600059283",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "1332930",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMIER",
            "identifier": "1518943406",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA STATE BOARD OF COUNSELING",
            "identifier": "0701003548",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMIS",
            "identifier": "1518643406",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMIS",
            "identifier": "2117903",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "247544",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHEASTERN SERVICES",
            "identifier": "247544",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2190356",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL",
            "identifier": "62-02411",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11526350",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "4634562",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandi Hodges",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky Mount, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.