Individual provider Active NPI

Sara Ann Crandall, MSW LMHP LCSW

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1669511705
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2965 Issued in NE
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

Updated by the provider on Mar 31, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
250100OtherNEMIDLANDS CHOICE
85486OtherNEBCBS

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
1185NEMDMental Health Counselor
2965NEMDMental 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.

Verify at the official NPI Registry.