Active NPI
Sebakara Sandrali
- Mental Health Counselor
- Tempe, AZ
National Provider Identifier
1881443380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CSLG13273
- Practice address
- 4600 S Mill Ave
Suite 160, Mailbox #150
Tempe, AZ 85282-6758 - Phone
- (757) 652-7262
- NPI assigned
- May 16, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CSLG13273 | AZ | Primary |
Addresses
Primary practice location
4600 S Mill Ave
Suite 160, Mailbox #150
Tempe, AZ 85282-6758
Mailing address
4600 S Mill Ave
Suite 160, Mailbox #150
Tempe, AZ 85282-6758
Phone (757) 652-7262
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
| License | State | Type | Specialty |
|---|---|---|---|
| CSLG13273 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winners Behavioral Health LLC | Current | Accepting new patients |
Locations
4600 S Mill Ave
Ste 150
Tempe, AZ 85282
Phone (757) 652-7262
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.
-
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- Phoenix, AZ
- NPI 1730865221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1881443380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 S MILL AVE",
"address_2": "SUITE 160, MAILBOX #150",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852826758",
"telephone_number": "757-652-7262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 S MILL AVE",
"address_2": "SUITE 160, MAILBOX #150",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852826758",
"telephone_number": "757-652-7262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDRALI",
"first_name": "SEBAKARA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-16",
"last_updated": "2024-05-16",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "CSLG13273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.