Active NPI
Sandstone Care Illinois, LLC
- Addiction (Substance Use Disorder) Counselor
- Tinley Park, IL
National Provider Identifier
1699537068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- SANDSTONE CARE ILLINOIS, LLC
- Practice address
- 16325 Harlem Ave Ste 200
Tinley Park, IL 60477-1688 - Phone
- (888) 228-2384
- Fax
- (888) 850-1860
- NPI assigned
- Jan 30, 2024
- Last updated
- Jan 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Morales
- Title
- Director of Revenue Operations
- Phone
- (720) 647-4467
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | Primary | |
| Mental Health Counselor | 101YM0800X | NU | ||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | NU | ||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | NU | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X | NU |
Addresses
Primary practice location
16325 Harlem Ave Ste 200
Tinley Park, IL 60477-1688
Mailing address
7555 E Hampden Ave Ste 103
Denver, CO 80231-4832
Phone (888) 228-2384
National Provider Directory
National Provider Directory- Tax ID family
- Sandstone Care Illinois LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Sandstone Care Darien
- Addiction (Substance Use Disorder) Counselor
- Darien, IL
- NPI 1710750278
-
- Addiction (Substance Use Disorder) Counselor
- Buffalo Grove, IL
- NPI 1962135848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706572800000",
"number": "1699537068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7555 E HAMPDEN AVE STE 103",
"city": "DENVER",
"state": "CO",
"postal_code": "802314832",
"telephone_number": "888-228-2384",
"fax_number": "888-850-1860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16325 HARLEM AVE STE 200",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604771688",
"telephone_number": "888-228-2384",
"fax_number": "888-850-1860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDSTONE CARE ILLINOIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-30",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A",
"authorized_official_last_name": "MORALES",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "DIRECTOR OF REVENUE OPERATIONS",
"authorized_official_telephone_number": "720-647-4467"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.