Individual provider Active NPI

Sandra Bills, M.A.ED., LCPC

  • Counselor
  • Pocatello, ID
National Provider Identifier
1841366929
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LCPC-226 Issued in ID
Practice address
150 S Arthur Ave Ste 221
Pocatello, ID 83204-3248
Phone
(208) 787-9804
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LCPC-226 ID Primary

Addresses

Primary practice location

150 S Arthur Ave Ste 221
Pocatello, ID 83204-3248

Mailing address

PO Box 3067
Pocatello, ID 83206-3067
Phone (208) 787-9804

Other practice location 1

283 N 1st E
Driggs, ID 83422-5109
Phone (208) 787-9804

Other identifiers 1

IdentifierTypeStateIssuer
18413669229OtherCAQH AND INSURANCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL billslpc@msn.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCPC-226IDMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1841366929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3067",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832063067",
            "telephone_number": "208-787-9804",
            "fax_number": "208-233-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S ARTHUR AVE STE 221",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043248",
            "telephone_number": "208-787-9804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "283 N 1st E",
            "address_purpose": "LOCATION",
            "city": "Driggs",
            "state": "ID",
            "postal_code": "834225109",
            "country_code": "US",
            "telephone_number": "208-787-9804",
            "fax_number": "208-233-9454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILLS",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "M.A.ED., LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LCPC-226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH  AND INSURANCE",
            "identifier": "18413669229",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "billslpc@msn.com",
            "affiliation": "N",
            "endpointDescription": "msn email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "150 S Arthur Ave Ste 221",
            "city": "Pocatello",
            "state": "ID",
            "country_code": "US",
            "postal_code": "832043248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.