Individual provider Active NPI

Jonelle Keranen Sandel, PHD, LMFT

  • Marriage & Family Therapist
  • Denver, CO
National Provider Identifier
1659542553
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
416 Issued in CO
Practice address
700 Colorado Blvd
Suite 153
Denver, CO 80206-4084
Phone
(303) 807-6660
NPI assigned
Mar 18, 2008
Last updated
Sep 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 416 CO Primary
Clinical Psychologist 103TC0700X 3329 CO

Addresses

Primary practice location

700 Colorado Blvd
Suite 153
Denver, CO 80206-4084

Mailing address

700 Colorado Blvd
Suite 153
Denver, CO 80206-4084
Phone (303) 807-6660

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3329COMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1659542553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 COLORADO BLVD",
            "address_2": "SUITE 153",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064084",
            "telephone_number": "303-807-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 COLORADO BLVD",
            "address_2": "SUITE 153",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064084",
            "telephone_number": "303-807-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDEL",
        "first_name": "JONELLE",
        "middle_name": "KERANEN",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "416",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.