Stephanie L Sandberg, M.S., LADC/MH, LPC-C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

512 SW 23Rd St
El Reno, OK 73036-5856

Phone

(405) 651-8562

Fax

(405) 776-3169

NPI assigned

Sep 13, 2016

Last updated

Jan 20, 2020By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Monarch Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • El Reno, OK
  • NPI 1780445577
  NPD Authorized official
• Youth & Family Services

  • Community/Behavioral Health Agency
  • El Reno, OK
  • NPI 1952676744
  NPD (past)

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1649728247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 SW 23RD ST",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730365856",
            "telephone_number": "405-651-8562",
            "fax_number": "405-776-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 SW 23RD ST",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730365856",
            "telephone_number": "405-651-8562",
            "fax_number": "405-776-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBERG",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.S., LADC/MH, LPC-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200706340B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saint Medical Group, LLC (SSM Health Medical Group Family Medicine El Reno)
• Saint Medical Group, LLC (SSM Health Medical Group Urgent Care El Reno)
• Sabrina Danielle Saltz
• Emily Samuel, MPH
• Joseph S Sandberg, LCSW, MSW, MBA
• Tracy Sanderson
• Kayley Renae Saunders, LPC
• Harold Scarborough, MBA, CM II
• Catherine Schantz, M.ED., ATC, LAT
• Sheridan F Schroeder, PHARMD

• Mental Health Counselor in El Reno, OK
• Providers in El Reno, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.