Individual provider Active NPI

Sandra M. Poupeney, LCSW, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Reno, NV
National Provider Identifier
1922136241
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
887 Issued in NV
Practice address
506 Holcomb Ave
Reno, NV 89502-1802
Phone
(775) 337-6940
Fax
(775) 786-5062
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 887 NV Primary
Clinical Social Worker 1041C0700X 2163-C NV

Addresses

Primary practice location

506 Holcomb Ave
Reno, NV 89502-1802

Mailing address

506 Holcomb Ave
Reno, NV 89502-1802
Phone (775) 337-6940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110421000115 NV Practitioner - Clinical Social Worker 3476738204 Practice locations: Reno, NV

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

506 Holcomb Ave
Reno, NV 89502-1802
Phone (775) 337-6940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
887NVMDAddiction (Substance Use Disorder) Counselor
2163-CNVMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1922136241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 HOLCOMB AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021802",
            "telephone_number": "775-337-6940",
            "fax_number": "775-786-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 HOLCOMB AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021802",
            "telephone_number": "775-337-6940",
            "fax_number": "775-786-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUPENEY",
        "first_name": "SANDRA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LCSW, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "887",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "2163-C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.