Rosalie Gwendolyn Sanders, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

9019 Issued in ID

Practice address

5578 Cherry LN
Nampa, ID 83687-9508

Phone

(208) 841-2238

NPI assigned

Jun 28, 2024

Last updated

Jun 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1811732175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5578 CHERRY LN",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836879508",
            "telephone_number": "208-841-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5578 CHERRY LN",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836879508",
            "telephone_number": "208-841-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "ROSALIE",
        "middle_name": "GWENDOLYN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "9019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saltzer Medical Group, PA
• George A Samaan, M.D. PH.D.
• Ricardo Sanchez, RDH
• Tony A Sandburg, PHARMD
• Laura L Sander, LPC
• Roxana M Sandor
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• Evan David Sanford, DPT
• Sanoura Haven LLC
• Stephanie Saravschi

• Professional Counselor in Nampa, ID
• Providers in Nampa, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.