Kelly Sandoval, CAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ACC.0021042 Issued in CO

Practice address

1011 S Valentia St
Denver, CO 80247-6812

Phone

(303) 564-1868

Fax

(303) 393-8637

NPI assigned

Oct 27, 2023

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Addiction Counseling Services of Colorado

  • Addiction (Substance Use Disorder) Counselor
  • Denver, CO
  • NPI 1790466050
  NPD

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1831961366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 S VALENTIA ST UNIT 85",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802476815",
            "telephone_number": "303-564-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 S VALENTIA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802476812",
            "telephone_number": "303-564-1868",
            "fax_number": "303-393-8637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 S Valentia St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802476812",
            "country_code": "US",
            "telephone_number": "303-564-1868",
            "fax_number": "303-393-8637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "KELLY",
        "credential": "CAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC.0021042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emiko Kimura Sandoval
• Esteban Sandoval, O.D.
• Gabriel Joesph Sandoval, B.A.
• Jacob Andrew Sandoval, PHD, LMFT
• Karen Sandoval
• Kevin Christopher Sandoval
• Lovvie Sandoval
• Natalie June Sandoval
• Sandra Loftin MD LLC
• Hailey Keegan Sands

• Addiction (Substance Use Disorder) Counselor in Denver, CO
• Providers in Denver, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.