Michelle Sanderson, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CTB20230886 Issued in NM

Practice address

5808 McLeod Rd NE
Albuquerque, NM 87109-2455

Phone

(505) 228-1670

NPI assigned

Nov 23, 2015

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Michelle Sanderson

  • Multi-Specialty Clinic/Center
  • Albuquerque, NM
  • NPI 1497334023

  Professional

  NPD Authorized official
• Therapeutic Roots Behavioral Health

  • Professional Counselor
  • Albuquerque, NM
  • NPI 1255103644
  NPD Authorized official

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1780058115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 DRAGOON RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144475",
            "telephone_number": "505-228-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 MCLEOD RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092455",
            "telephone_number": "505-228-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "MICHELLE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB20230886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE COUNSELING BOARD",
            "identifier": "T-0177011",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Carl Sanders, MD
• Monique Simone Sanders, MT
• Roneesha Sanders
• Samuel J Sanders, PT, DPT
• Lisa Sanderson
• Stephanie Rae Sanderson, CNS
• Linda Sanderville, MSW, LICSW, LCSW
• Melissa Ann Sandford
• Angad Sandhu
• Baljinder S Sandhu, MD

• Professional Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.