Individual provider Active NPI

Sandra M Christophe, LAC, LMSW

  • Substance Abuse Rehabilitation Facility
  • Alexandria, LA
National Provider Identifier
1629560479
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
2203783745 Issued in LA
Practice address
1617 Branch St
Alexandria, LA 71301-4302
Phone
(318) 443-0189
Fax
(318) 767-1714
NPI assigned
Jun 6, 2018
Last updated
Jun 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 2203783745 LA Primary

Addresses

Primary practice location

1617 Branch St
Alexandria, LA 71301-4302

Mailing address

1617 Branch St
Alexandria, LA 71301-4302
Phone (318) 443-0189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2203783745LAMDSubstance Abuse Rehabilitation Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Re-Entry Solutions Substance Abuse Rehabilitation Facility Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1629560479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 BRANCH ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713014302",
            "telephone_number": "318-443-0189",
            "fax_number": "318-767-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 BRANCH ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713014302",
            "telephone_number": "318-443-0189",
            "fax_number": "318-767-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOPHE",
        "first_name": "SANDRA",
        "middle_name": "M",
        "credential": "LAC, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "LA",
            "license": "2203783745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.