Sandoval Therapy and Consulting LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SANDOVAL THERAPY AND CONSULTING LLC

Practice address

1500 N Grant St Ste R
Denver, CO 80203-1859

Phone

(319) 855-7899

Fax

(303) 496-0786

NPI assigned

Jul 19, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Andrew Sandoval, PHD, LMFTNPI 1255959391

Title

Owner/Administrator

Phone

(319) 855-7899

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Radiant Pathways Counseling & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in IA, CO2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Andrew Sandoval, PHD, LMFT

  • Marriage & Family Therapist
  • Denver, CO
  • NPI 1255959391

  IA

  Medicare reassignment NPD Authorized official
• Kalen D Zeiger, PHD, LMFT, CCTP,CFTP

  • Marriage & Family Therapist
  • Denver, CO
  • NPI 1306530332

  IA

  Medicare reassignment NPD
• Lauren Nova Avalon

  • Marriage & Family Therapist
  • Denver, CO
  • NPI 1306767140
  NPD (past)

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1871273375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6732 W COAL MINE AVE",
            "address_2": "PMB 139",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801234573",
            "telephone_number": "319-855-7899",
            "fax_number": "303-496-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N GRANT ST STE R",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031859",
            "telephone_number": "319-855-7899",
            "fax_number": "303-496-0786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 E 5th St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507034759",
            "country_code": "US",
            "telephone_number": "319-855-7899",
            "fax_number": "303-496-0786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 E Enterprise Ave Ste 333",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549137889",
            "country_code": "US",
            "telephone_number": "319-855-7899",
            "fax_number": "303-496-0786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANDOVAL THERAPY AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "319-855-7899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0234421",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000227446",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Pathways Counseling & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Radiant Pathways Counseling & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avery Sandler
• Kayla Marie Sandlin, M.ED., CCC-SLP
• Jannine Nielsen Sandman, ANP
• Derek Sandos
• Sandoval Family Dentistry PC
• Tirzah Sandoval-Labadie, R.N.
• Claire Elise Sandoval, BS
• Emiko Kimura Sandoval
• Esteban Sandoval, O.D.
• Gabriel Joesph Sandoval, B.A.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Denver, CO
• Providers in Denver, CO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.