Active NPI
Linda Gail Sandness, BA. NCACII LAT LAT-1
- Addiction (Substance Use Disorder) Counselor
- Evanston, WY
National Provider Identifier
1689065112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LAT-199
- Practice address
- 77 County Rd 109
Evanston, WY 82930-2543 - Phone
- (307) 783-1018
- Fax
- (307) 783-1028
- NPI assigned
- Feb 5, 2015
- Last updated
- Feb 5, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LAT-199 | WY | Primary |
Addresses
Primary practice location
77 County Rd 109
Evanston, WY 82930-2543
Mailing address
1013 West Cheyenne Drive Suite a
Evanston, WY 82930-2543
Phone (307) 783-1018
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 |
|---|---|---|---|
| LAT-199 | WY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choices , Alcohol, Drug & Behavioral Help Center Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Substance Abuse Rehabilitation Facility
- Evanston, WY
- NPI 1336583608
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1689065112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 WEST CHEYENNE DRIVE SUITE A",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829302543",
"telephone_number": "307-783-1018",
"fax_number": "307-783-1028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 COUNTY RD 109",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829302543",
"telephone_number": "307-783-1018",
"fax_number": "307-783-1028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDNESS",
"first_name": "LINDA",
"middle_name": "GAIL",
"name_prefix": "Mrs.",
"credential": "BA. NCACII LAT LAT-1",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-05",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WY",
"license": "LAT-199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.