Sandra P Charles, ICADC, CADCII, CCS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

439 Issued in GA

Practice address

404 Roseine Dr
Warner Robins, GA 31088-8686

Phone

(850) 774-8646

NPI assigned

Mar 31, 2015

Last updated

Mar 31, 2015By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1598150260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 ROSEINE DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888686",
            "telephone_number": "850-774-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 ROSEINE DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888686",
            "telephone_number": "850-774-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "SANDRA",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "ICADC, CADCII, CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "083",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Madyson Chance
• Ashley Cooper Chancellor, NP
• Leondreayah Chandler
• Carnaria R. Chapman
• Melanie Chapman, CPS, CPS-P, CPS-WH
• Shaquan Charles
• Amanda Chase
• Heather Coffeen Chastain, NP - C
• Brittany Cheek, LPN
• Cheryl L . Howard Young, DO, PC

• Addiction (Substance Use Disorder) Counselor in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.