Individual provider Active NPI

Robin Sandau

  • Mental Health Counselor
  • Bangor, ME
National Provider Identifier
1730530809
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC6183 Issued in ME
Practice address
557 Hammond St
Bangor, ME 04401-4511
Phone
(207) 973-0505
Fax
(207) 992-2175
NPI assigned
Jun 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC6183 ME Primary

Addresses

Primary practice location

557 Hammond St
Bangor, ME 04401-4511

Mailing address

511 Wing Rd
Hermon, ME 04401-0422
Phone (207) 631-1247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20240430004496 ME Practitioner - Mental Health Counselor 4688014137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Affiliates Maine, LLCGroup PAC ID 1951594076, 169 clinicians

Practice addresses (Care Compare)

306 Rodman Rd
Auburn, ME 04210-3830
Phone (207) 333-3278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC6183MEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dirigo Counseling Clinic, LLC Addiction (Substance Use Disorder) CurrentSince Apr 1, 2024 Accepting new patients
Pine Tree Urgent Care LLC CurrentSince Aug 25, 2025 Accepting new patients
Gba Counseling Services PLLC Addiction (Substance Use Disorder) Current Accepting new patients
Health Affiliates Maine, LLC CurrentSince Jun 25, 2025 Accepting new patients

Locations

306 Rodman Rd
Auburn, ME 04210
Phone (207) 333-3278

557 Hammond St
Bangor, ME 04401
Phone (207) 239-9757

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1730530809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 WING RD",
            "city": "HERMON",
            "state": "ME",
            "postal_code": "044010422",
            "telephone_number": "207-631-1247",
            "fax_number": "207-992-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 HAMMOND ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014511",
            "telephone_number": "207-973-0505",
            "fax_number": "207-992-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDAU",
        "first_name": "ROBIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC6183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.