Sandal Gap Counseling Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SANDAL GAP COUNSELING SERVICES LLC

Practice address

33062 County Road 25
Greeley, CO 80631-9326

Phone

(808) 425-0195

Fax

(808) 369-7106

NPI assigned

Jan 31, 2024

Organization subpart

No

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

Authorized official

Name

Nicole JohnsonNPI 1134623663

Title

Ceo

Phone

(808) 425-0195

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Johnson, BCBA

  • Behavior Analyst
  • Honolulu, HI
  • NPI 1134623663
  NPD Authorized official

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1710740980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 KUUMELE PL",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342957",
            "telephone_number": "808-425-0195",
            "fax_number": "808-369-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33062 COUNTY ROAD 25",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806319326",
            "telephone_number": "808-425-0195",
            "fax_number": "808-369-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDAL GAP COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-425-0195"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kymberly Sanchez, PHARMD
• Luke Sanchez, MD
• Matthew Thomas Sanchez
• Simona Sanchez
• Stephanie Lorie Sanchez
• Teshia Sandau, LPCC
• Kelly R Sanderford, MD
• Jaclyn Sanders
• Madison Nichole Sanders
• Nathan Cody Sanders, NBC-HIS

• Mental Health Counselor in Greeley, CO
• Providers in Greeley, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.