NPIMap

Organization Active NPI

Sandstone Bridge Center, LLC

  • Marriage & Family Therapist
  • Salina, KS
National Provider Identifier
1982901724
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
854 Issued in KS
Legal business name
SANDSTONE BRIDGE CENTER, LLC
Practice address
134 S Santa Fe Ave
Suite 130
Salina, KS 67401-2877
Phone
(785) 823-7400
Fax
(785) 823-7400
NPI assigned
Feb 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
Mrs. Mindy J Nicholson, LCAC, LCMFTNPI 1285960252
Title
Owner
Phone
(785) 823-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 403 KS
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 854 KS Primary

Addresses

Primary practice location

134 S Santa Fe Ave
Suite 130
Salina, KS 67401-2877

Mailing address

134 S Santa Fe Ave
Suite 130
Salina, KS 67401-2877
Phone (785) 823-7400

Other identifiers 1

IdentifierTypeStateIssuer
200630800AMedicaidKS

National Provider Directory

National Provider Directory

Locations

134 S Santa Fe Ave
Ste 130
Salina, KS 67401
Phone (785) 342-3693

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1982901724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 S SANTA FE AVE",
            "address_2": "SUITE 130",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012877",
            "telephone_number": "785-823-7400",
            "fax_number": "785-823-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 S SANTA FE AVE",
            "address_2": "SUITE 130",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012877",
            "telephone_number": "785-823-7400",
            "fax_number": "785-823-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDSTONE BRIDGE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "MINDY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-823-7400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCAC, LCMFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "403",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200630800A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.