Individual provider Active NPI

Sandra Prieto, CASE WORKER, QMHS

  • Behavior Technician
  • Columbus, OH
National Provider Identifier
1629864152
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2323 Lake Club Dr Ste 118
Columbus, OH 43232-3198
Phone
(614) 266-2004
NPI assigned
Apr 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

2323 Lake Club Dr Ste 118
Columbus, OH 43232-3198

Mailing address

2323 Lake Club Dr Ste 118
Columbus, OH 43232-3198
Phone (614) 266-2004

Other practice location 1

2912 E 14th Ave
Columbus, OH 43219-2304
Phone (614) 323-2628

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hustle Wellness LLC CurrentSince Apr 27, 2025 Accepting new patients

Locations

2912 E 14th Ave
Columbus, OH 43219
Phone (614) 323-2628

2323 Lake Club Dr
Ste 118
Columbus, OH 43232
Phone (614) 266-2004

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": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1629864152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 LAKE CLUB DR STE 118",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432323198",
            "telephone_number": "614-266-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 LAKE CLUB DR STE 118",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432323198",
            "telephone_number": "614-266-2004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2912 E 14th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432192304",
            "country_code": "US",
            "telephone_number": "614-323-2628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIETO",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "CASE WORKER, QMHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.