Tandem Wellness Center, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3395 Issued in CO

Legal business name

TANDEM WELLNESS CENTER, LLC

Practice address

1401 E Bridge St
Brighton, CO 80601-1950

Phone

(303) 359-1352

Fax

(303) 835-2534

NPI assigned

Mar 19, 2014

Last updated

Feb 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dianna Lynn Sandoval, MA, LPC, LACNPI 1760653554

Title

Owner/Director

Phone

(303) 359-1352

Specialties & licenses 2

Addresses

Locations

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.

• Dianna Lynn Sandoval, LPC, LAC

  • Counselor
  • Brighton, CO
  • NPI 1760653554

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1588081251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E BRIDGE ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806011950",
            "telephone_number": "303-359-1352",
            "fax_number": "303-835-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E BRIDGE ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806011950",
            "telephone_number": "303-359-1352",
            "fax_number": "303-835-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANDEM WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "303-359-1352",
        "authorized_official_credential": "MA, LPC, LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "4678",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "3395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Sweeting, SLP
• Katherine Syper
• Amanda G. Szymanski, CNIM, AUD
• Amanda Lynn Taliercio, LMT
• Elise J. Tallant, NNP
• Timothy J Taylor
• Colleen Marie Tempel, PT
• Jaocb Marc Tevah, RD
• Shoua Her Thao, RN
• Amanda Thayer, MA, LPC

• Professional Counselor in Brighton, CO
• Providers in Brighton, 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 27, 2020; 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.