Ellen Andrea Sande, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC 34 Issued in CA

Practice address

4966 El Camino Real
Suite 119
Los Altos, CA 94022-1436

Phone

(408) 510-6429

NPI assigned

Jul 7, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ellen Andrea Sande-Kerback Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1341619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341619200000",
    "number": "1689939589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4966 EL CAMINO REAL",
            "address_2": "SUITE 119",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221436",
            "telephone_number": "408-510-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4966 EL CAMINO REAL",
            "address_2": "SUITE 119",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221436",
            "telephone_number": "408-510-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDE",
        "first_name": "ELLEN",
        "middle_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-07",
        "last_updated": "2012-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPC 34",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00313100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "SANDE-KERBACK",
            "middle_name": "ANDREA",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Keith M Sakata, MD
• Leonora Mary Salado
• Ardeshir N. Salem, DDS
• Dustyn Michael Salomon, AMFT, APCC
• Edward Antoni Samy, ED.D.
• Puneet Sandhu
• Sandra J. Bozich, O.D., Inc.
• Mona Sane, MD
• Coleen Ann Sanocki, PT
• Gian Michael Sarabia

• Professional Counselor in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2012; 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.