Individual provider Active NPI

Sandra D. Chew, EDD, LCPC, LPC

  • Professional Counselor
  • Upper Marlboro, MD
National Provider Identifier
1902099732
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC2761 Issued in MD
Practice address
14410 Old Mill Rd Ste 101
Upper Marlboro, MD 20772-2846
Phone
(301) 574-5500
NPI assigned
Aug 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PRC14724 DC
Professional Counselor 101YP2500X LC2761 MD Primary

Addresses

Primary practice location

14410 Old Mill Rd Ste 101
Upper Marlboro, MD 20772-2846

Mailing address

14410 Old Mill Rd Ste 101
Upper Marlboro, MD 20772-2846
Phone (301) 574-5500

Other identifiers 1

IdentifierTypeStateIssuer
0411086MedicaidMD

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

LicenseStateTypeSpecialty
PRC14724DCMDProfessional Counselor
LC2761MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Ardnas Counseling Group, LLC Professional CurrentSince May 17, 2020 Accepting new patients

Locations

14410 Old Mill Rd
Ste 101
Upper Marlboro, MD 20772
Phone (301) 574-5500

14526 Church St
Upper Marlboro, MD 20772
Phone (301) 304-4939

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": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1902099732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14410 OLD MILL RD STE 101",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722846",
            "telephone_number": "301-574-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14410 OLD MILL RD STE 101",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722846",
            "telephone_number": "301-574-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEW",
        "first_name": "SANDRA",
        "middle_name": "D.",
        "credential": "EDD, LCPC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14724",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0411086",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.