Individual provider Active NPI

Sandra Lee Swartwout, LMHC

  • Mental Health Counselor
  • West Seneca, NY
National Provider Identifier
1881132918
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010616 Issued in NY
Practice address
95 Theresa CT
West Seneca, NY 14224-4715
Phone
(716) 547-1874
Fax
(716) 608-1512
NPI assigned
Feb 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 010616 NY Primary

Addresses

Primary practice location

95 Theresa CT
West Seneca, NY 14224-4715

Mailing address

95 Theresa CT
West Seneca, NY 14224-4715
Phone (716) 275-2543

Other identifiers 1

IdentifierTypeStateIssuer
010616OtherNYMENTAL HEALTH COUNSELING LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Opted out of Medicare
Yes, effective Jun 1, 2024 through Jun 1, 2028

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260527000399 NY Practitioner - Mental Health Counselor 0547702912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1225 Franklin Ave
Suite 325
Garden City, NY 11530-1659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010616NYMDPsychologist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1881132918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 THERESA CT",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244715",
            "telephone_number": "716-275-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 THERESA CT",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244715",
            "telephone_number": "716-547-1874",
            "fax_number": "716-608-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTWOUT",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH COUNSELING LICENSE",
            "identifier": "010616",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.