Robert L Sanders, LPC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

LPC006452 Issued in GA

Practice address

1953 Woodchuck Way
Hephzibah, GA 30815-7948

Phone

(706) 284-2382

NPI assigned

Feb 21, 2012

Last updated

Feb 21, 2012By the provider in NPPES

Sex

Male

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renu Children and Family Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hephzibah, GA
  • NPI 1700241411
  NPD (past) Authorized official

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1841563988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 WOODCHUCK WAY",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308157948",
            "telephone_number": "706-284-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 WOODCHUCK WAY",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308157948",
            "telephone_number": "706-284-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "GA",
            "license": "LPC006452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renu Children and Family Counseling, LLC
• Tahirah Yvette Rivera
• RN on Wheels-Mobilized Diagnostic Testing & Healthcare Service
• Jacqueline Yvette Rogers, RN BSN
• Darlene Rozier
• Kim Maria Sapp, LPC
• Vincent Anthony Saunders
• Maria Scarlett, RN
• Brittney Scruggs
• Serenity Health Care Services

• Community Health Worker in Hephzibah, GA
• Providers in Hephzibah, GA by specialty
• Community Health Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.