Individual provider Active NPI

Debra Marie Sandgren, LMFT

  • Mental Health Counselor
  • Escondido, CA
National Provider Identifier
1982944609
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
48637 Issued in CA
Practice address
135 E 3Rd Ave Ste B
Escondido, CA 92025-4252
Phone
(619) 786-5835
NPI assigned
Feb 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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 48637 CA Primary

Addresses

Primary practice location

135 E 3Rd Ave Ste B
Escondido, CA 92025-4252

Mailing address

30271 Silver Ridge CT
Temecula, CA 92591-7315
Phone (619) 786-5835

Other names 1

  • Debbie Marie Sandgren Former name

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

State licenses

LicenseStateTypeSpecialty
48637CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1982944609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30271 SILVER RIDGE CT",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925917315",
            "telephone_number": "619-786-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E 3RD AVE STE B",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254252",
            "telephone_number": "619-786-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDGREN",
        "first_name": "DEBRA",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-15",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "48637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBBIE",
            "last_name": "SANDGREN",
            "middle_name": "MARIE",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.