Active NPI
Sara Ann Crandall, MSW LMHP LCSW
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1669511705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2965
- Practice address
- 3940 Cornhusker Hwy
Lincoln, NE 68504-1534 - Phone
- (402) 464-8866
- Fax
- (402) 464-8879
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2965 | NE | Primary |
| Mental Health Counselor | 101YM0800X | 1185 | NE |
Addresses
Primary practice location
3940 Cornhusker Hwy
Lincoln, NE 68504-1534
Mailing address
3940 Cornhusker Hwy
Lincoln, NE 68504-1534
Phone (402) 464-8866
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250100 | Other | NE | MIDLANDS CHOICE |
| 85486 | Other | NE | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1185 | NE | MD | Mental Health Counselor |
| 2965 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238457600000",
"number": "1669511705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3940 CORNHUSKER HWY",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685041534",
"telephone_number": "402-464-8866",
"fax_number": "402-464-8879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3940 CORNHUSKER HWY",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685041534",
"telephone_number": "402-464-8866",
"fax_number": "402-464-8879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANDALL",
"first_name": "SARA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MSW LMHP LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2009-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2965",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1185",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "250100",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "85486",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.