Active NPI
Sandee Tisdale
- Counselor
- Sudbury, MA
National Provider Identifier
1922918622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2130812
- Practice address
- 29 Hudson Rd
Sudbury, MA 01776-1757 - Phone
- (617) 610-4469
- NPI assigned
- Sep 8, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2130812 | MA | Primary |
Addresses
Primary practice location
29 Hudson Rd
Sudbury, MA 01776-1757
Mailing address
26 Atkinson LN
Sudbury, MA 01776-1939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1922918622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 ATKINSON LN",
"city": "SUDBURY",
"state": "MA",
"postal_code": "017761939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 HUDSON RD",
"city": "SUDBURY",
"state": "MA",
"postal_code": "017761757",
"telephone_number": "617-610-4469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TISDALE",
"first_name": "SANDEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "MA",
"license": "2130812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sudbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.