Sandra Lynn Anderson, MS LPC NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2994125 Issued in WI

Practice address

1250 E Business Highway 151 Ste a-3
Platteville, WI 53818-3875

Phone

(608) 348-7474

Fax

(608) 348-7117

NPI assigned

Aug 10, 2006

Last updated

Feb 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Mental Health Counselor

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Master of Science - Law

State licenses

Practice roles

Locations

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.

• Inner Peace Counseling, Inc.

  • Clinical Social Worker
  • Platteville, WI
  • NPI 1164054946

  Mental Health

  Medicare reassignment NPD Authorized official
• Platteville Family Resource Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Platteville, WI
  • NPI 1477661692
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1689685364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E BUSINESS HIGHWAY 151 STE A-3",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183875",
            "telephone_number": "608-348-7474",
            "fax_number": "608-348-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E BUSINESS HIGHWAY 151 STE A-3",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183875",
            "telephone_number": "608-348-7474",
            "fax_number": "608-348-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SANDRA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS LPC NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180002900",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2994125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43580900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Grace Albright Knash, DAT
• Samantha Albrigtson
• Tiffany M Allen, APNP
• Karley Elizabeth Anderson, LPC-IT
• Mackenzie Rachel Anderson
• Jason Y Ankumah-Saikoom, M.D.
• Taryn Marie Arndt
• Matti Pekka Asuma, MD
• Chloe Mae Bainbridge, OD
• Jennifer Barraza, LCSW

• Mental Health Counselor in Platteville, WI
• Providers in Platteville, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.