Individual provider Active NPI

Sandra J. Garriott-Stejskal, MA, LPCC, LPAT

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1972780849
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2491 AND 2484 Issued in NM
Practice address
A.H.C.H. 1217 1St St NW
Albuquerque, NM 87102
Phone
(505) 831-7815
Fax
(505) 831-7816
NPI assigned
Jan 23, 2008
Last updated
Jan 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2491 AND 2484 NM Primary

Addresses

Primary practice location

A.H.C.H. 1217 1St St NW
Albuquerque, NM 87102

Mailing address

1217 1St St NW
Albuquerque Health Care for the Homeless
Albuquerque, NM 87102
Phone (505) 831-7815

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2491 AND 2484NMMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1972780849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 1ST ST NW",
            "address_2": "ALBUQUERQUE HEALTH CARE FOR THE HOMELESS",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87102",
            "telephone_number": "505-831-7815",
            "fax_number": "505-831-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A.H.C.H. 1217 1ST ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87102",
            "telephone_number": "505-831-7815",
            "fax_number": "505-831-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIOTT-STEJSKAL",
        "first_name": "SANDRA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "MA, LPCC, LPAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "2491   AND 2484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.