Sandra Hardie, CADCIII, CCSII

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1149 Issued in WI

Practice address

314 Niagara Ave
Sheboygan, WI 53081-4128

Phone

(920) 451-8667

NPI assigned

Jun 14, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Lighthouse Therapy Services, LLC

  • Point of Service
  • Sheboygan, WI
  • NPI 1477530228
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1821031857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 NIAGARA AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814128",
            "telephone_number": "920-451-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 NIAGARA AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814128",
            "telephone_number": "920-451-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIE",
        "first_name": "SANDRA",
        "credential": "CADCIII, CCSII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "1149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39391900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Handzel, OD
• Hanger Prosthetics & Orthotics East Inc
• Jeffrey T Hansmann, M.D.
• James M Hanson, D.D.S.
• Jessie Harder, OTR
• Cassandra Hardy
• Kalyn M Harker, PA-C
• Amanda Alejandra Harmann, NP
• Connor Hayes Harmann, MD
• Amy J. Harms, MD

• Addiction (Substance Use Disorder) Counselor in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.