Individual provider Active NPI

Sandra Lee Deas, MS

  • Counselor
  • Hilliard, OH
National Provider Identifier
1598083198
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CO600321 Issued in OH
Practice address
4094 Main St Ste 202
Hilliard, OH 43026-3429
Phone
(614) 777-6373
Fax
(614) 777-6375
NPI assigned
May 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CO600321 OH Primary
Mental Health Counselor 101YM0800X CO600321 OH
Professional Counselor 101YP2500X CO600321 OH

Addresses

Primary practice location

4094 Main St Ste 202
Hilliard, OH 43026-3429

Mailing address

4094 Main St Suite 202
Hilliard, OH 43026
Phone (614) 777-6373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240903003649 OH Practitioner - Mental Health Counselor 0143769216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4094 Main St
Suite 202
Hilliard, OH 43026-3429
Phone (614) 777-6373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CO600321OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Haven Counseling, LLC Counselor CurrentSince Jul 22, 2024 Accepting new patients

Locations

4094 Main St
Ste 202
Hilliard, OH 43026
Phone (614) 777-6373

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1598083198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4094 MAIN ST SUITE 202",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "43026",
            "telephone_number": "614-777-6373",
            "fax_number": "614-777-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4094 MAIN ST STE 202",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430263429",
            "telephone_number": "614-777-6373",
            "fax_number": "614-777-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAS",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-07",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "CO600321",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "CO600321",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "CO600321",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.