Individual provider Active NPI

Sandi K. Burningham, L.P.C., L.S.A.C.

  • Professional Counselor
  • St George, UT
National Provider Identifier
1932325875
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
350065-6004 Issued in UT
Practice address
561 E Tabernacle St
St George, UT 84770-2944
Phone
(435) 673-2822
Fax
(435) 673-0943
NPI assigned
Apr 18, 2007
Last updated
Mar 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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 350065-6006 UT
Professional Counselor 101YP2500X 350065-6004 UT Primary

Addresses

Primary practice location

561 E Tabernacle St
St George, UT 84770-2944

Mailing address

561 E Tabernacle St
St George, UT 84770-2944
Phone (435) 673-2822

Other identifiers 1

IdentifierTypeStateIssuer
11654728OtherUTCAQH CREDENTIALING #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 25, 2026 through Mar 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
350065-6006UTMDAddiction (Substance Use Disorder) Counselor
350065-6004UTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Lotus Group, Inc. Current Accepting new patients

Locations

1173 S 250 W
Ste 203
St George, UT 84770
Phone (435) 668-4138

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1932325875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 E TABERNACLE ST",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702944",
            "telephone_number": "435-673-2822",
            "fax_number": "435-673-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 E TABERNACLE ST",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702944",
            "telephone_number": "435-673-2822",
            "fax_number": "435-673-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNINGHAM",
        "first_name": "SANDI",
        "middle_name": "K.",
        "name_prefix": "Mrs.",
        "credential": "L.P.C., L.S.A.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "350065-6006",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "350065-6004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH CREDENTIALING #",
            "identifier": "11654728",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.