Amanda Sanchez, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

11638 Issued in ID

Practice address

522 Lomax St
Idaho Falls, ID 83401-6264

Phone

(208) 522-6925

Fax

(208) 522-6934

NPI assigned

Sep 24, 2013

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

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.

• Padron Counseling Services, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Idaho Falls, ID
  • NPI 1649606575
  NPD (past)

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1861828626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 LOMAX ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834016264",
            "telephone_number": "208-522-6925",
            "fax_number": "208-522-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 LOMAX ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834016264",
            "telephone_number": "208-522-6925",
            "fax_number": "208-522-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "AMANDA",
        "credential": "CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "11638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salt Lake City Vamc
• Sam'S Club Optical
• Sharon Sampson, PT
• Sams West Inc
• Mirthia Marie Samuelson, LCSW
• Joyce Lynette Sanchez, M.D.
• Sandra May Sanchez, LMSW
• Sandcreek Echo, Inc.
• Paula Jean Sanderlin, FNP
• Santibanez Pac Idaho

• Addiction (Substance Use Disorder) Counselor in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Addiction (Substance Use Disorder) Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.