Michelle Raye Stewart-Sandusky, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000368 Issued in IA

Practice address

4725 Merle Hay Rd
Suite 205
Des Moines, IA 50322-1983

Phone

(515) 528-8135

Fax

(515) 777-1210

NPI assigned

Sep 13, 2012

Last updated

Sep 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shelly Raye Stewart-Sandusky Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Central Iowa Mental Health Organization

  • Mental Health Counselor
  • Des Moines, IA
  • NPI 1982488540

  Marriage & Family Therapist

  NPD Authorized official
• SS Therapy and Consulting

  • Marriage & Family Therapist
  • Des Moines, IA
  • NPI 1720465685
  Authorized official Same address or phone

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1982954301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 MERLE HAY RD",
            "address_2": "SUITE 205",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503221983",
            "telephone_number": "515-528-8135",
            "fax_number": "515-777-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 MERLE HAY RD",
            "address_2": "SUITE 205",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503221983",
            "telephone_number": "515-528-8135",
            "fax_number": "515-777-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART-SANDUSKY",
        "first_name": "MICHELLE",
        "middle_name": "RAYE",
        "name_prefix": "Mrs.",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "000368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "STEWART-SANDUSKY",
            "middle_name": "RAYE",
            "credential": "MS, LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathryn A Stevens, RN
• Richard Stevens, DO
• Chris E Stevenson, DDS
• Catherine Stevermer, PT, PHD, GCS
• Amanda Kristine Steward, CTRS, CADC
• Allison Stewart, CPNP-AC
• Jared Franklin Stewart, PHARMD
• Julie Stewart
• Ashland Rose Stice, ARNP
• Mindy Stichka, MS ED

• Marriage & Family Therapist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Marriage & Family Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.