Individual provider Active NPI

Sandra Ann Castillo Daneri, LPC

  • Professional Counselor
  • Madison, AL
National Provider Identifier
1689486623
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC05507 Issued in AL
Practice address
1634 Slaughter Rd Ste C
Madison, AL 35758-5914
Phone
(256) 822-2375
Fax
(256) 584-2330
NPI assigned
Jan 27, 2025
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC05507 AL Primary

Addresses

Primary practice location

1634 Slaughter Rd Ste C
Madison, AL 35758-5914

Mailing address

251 Johnston St SE Ste 100
Decatur, AL 35601-2535
Phone (256) 822-2375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250205000602 AL Practitioner - Mental Health Counselor 0941730071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Counseling and Consulting LLCGroup PAC ID 2769789551, 17 clinicians

Practice addresses (Care Compare)

251 Johnston St SE
Suite 100
Decatur, AL 35601-2515
Phone (256) 822-2375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC05507ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Counseling & Consulting LLC Professional CurrentSince Nov 28, 2024 Accepting new patients

Locations

14790 Brownsferry Rd
Athens, AL 35611
Phone (256) 822-2375

251 Johnston St SE
Ste 100
Decatur, AL 35601
Phone (256) 822-2375

1634 Slaughter Rd
Ste C
Madison, AL 35758
Phone (256) 430-9756

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.

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1689486623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 JOHNSTON ST SE STE 100",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012535",
            "telephone_number": "256-822-2375",
            "fax_number": "256-584-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 SLAUGHTER RD STE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357585914",
            "telephone_number": "256-822-2375",
            "fax_number": "256-584-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO DANERI",
        "first_name": "SANDRA",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC05507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.