SANDRA LYNN LEE (NPI# 1386766525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386766525 |
| Entity Type | Individual |
| Full Name | SANDRA LYNN LEE |
| Other Name | SANDRA LYNN CUTLER |
| Credential | LCPC LICENSED CLINIC |
| Practice Address |
1550 Douglas Ste 101 Charleston IL 61920 |
| Practice Telephone | 2173456095 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 0001520201 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750904090 | Sandra S. Lee | Psychologist | 236 Crescenzi Ct, West Orange, NJ 07052-4136 | 2020-05-21 |
| 1740658442 | Sandra Lee | Speech-Language Pathologist | 3526 Monroe Rd, Seminary, MS 39479-4054 | 2015-09-11 |
| 1679998058 | Sandra Lee | Acupuncturist | 3 Franklin Sq, Suite 3, Saratoga Springs, NY 12866-2153 | 2014-02-21 |
| 1174947758 | Sandra Lee | Contractor | 204 E Gore Blvd, Lawton, OK 73501-3047 | 2014-02-18 |
| 1548563349 | Sandra H Lee | Dentist | 3447 S Halsted St., Chicago, IL 60608 | 2010-12-16 |
| 1487963245 | Sandra D Lee | Social Worker | 66 Alysia Ct, Staten Island, NY 10309-2018 | 2010-09-28 |
| 1730492455 | Sandra Lee | Acupuncturist | 441 S Beverly Dr Ste 8, Beverly Hills, CA 90212-4427 | 2010-07-22 |
| 1033433446 | Sandra J Lee | Family Medicine | 550 Dewberry Creek Dr, Dallas, GA 30132 | 2010-03-15 |
| 1235252289 | Sandra Siew Pin Lee | Dermatology | 639 N 13th Ave, Upland, CA 91786-4906 | 2007-04-06 |
| 1992855951 | Sandra Melissa Lee | Physical Therapist | 6400 Highway 9 Ste D, Inman, SC 29349-6927 | 2007-01-11 |
| Street Address |
1550 DOUGLAS STE 101 |
| City | CHARLESTON |
| State | IL |
| Zip Code | 61920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643879 | Jenna Kay Mortensen | Speech-Language Pathologist | 2086 7th Street, Charleston, IL 61920 | 2020-06-09 |
| 1255954566 | Christina L. White | Nurse Practitioner | 1199 Persimmon Rd, Charleston, IL 61920 | 2020-05-20 |
| 1679066773 | Jennifer Hess | Specialist/Technologist | 2506 Lantz Building, Charleston, IL 61920 | 2018-06-13 |
| 1134647969 | Nichole C Ogilvie | Student in an Organized Health Care Education/Training Program | 917 4th Street Apt 19, Charleston, IL 61920 | 2017-08-31 |
| 1467970319 | Marcus Roach | Physical Therapy Assistant | 912 Oakcrest Dr. Apt D, Charleston, IL 61920 | 2017-08-30 |
| 1114478500 | 5 Guys Rx II LLC | Pharmacy | 1 W Lincoln Ave, Charleston, IL 61920 | 2016-10-20 |
| 1649723206 | Bright Minds Educational Program Inc | Developmental Therapist | 7704 Deerpath Road, Charleston, IL 61920 | 2016-08-01 |
| 1760843379 | Lisa Price | Nurse Practitioner | 2040 Lincoln Ave, Suite 100, Charleston, IL 61920 | 2016-03-09 |
| 1104243385 | Nathan David Schwartzkopf | Specialist/Technologist | 1340 A Street, Charleston, IL 61920 | 2014-03-25 |
| 1558694349 | Emily Schilling | Specialist/Technologist | 2350 Harrison Avenue, Charelston, IL 61920 | 2009-09-10 |
| Find all providers in zip 61920 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881202778 | Sarah Deitz Ratliff | Counselor | 300 Capitol St Ste 1610, Charleston, WV 25301-1737 | 2020-07-17 |
| 1194341487 | Elizabeth Manigault | Counselor | 763 Meeting St Ste 200, Charleston, SC 29403-3146 | 2020-06-22 |
| 1689201196 | Chelsea Michelle Green | Counselor | 1812 Banbury Rd, Charleston, SC 29414-5941 | 2020-03-25 |
| 1437642139 | Timothy Charles Babick | Counselor | 801 Smith St Apt 16, Charleston, WV 25301-1249 | 2018-06-07 |
| 1497247001 | Jerica Wesley | Counselor | 300 Kenton Dr Ste 200, Charleston, WV 25311-1266 | 2018-05-31 |
| 1225557440 | Ravenel Therapeutic Counseling, LLC | Counselor | 29 Gamecock Ave Ste 100, Charleston, SC 29407-3366 | 2017-09-19 |
| 1780117804 | Amy Jackson | Counselor | 3590 Mary Ader Ave Apt 1021, Charleston, SC 29414-5792 | 2017-04-05 |
| 1013375708 | Avondale Therapy | Counselor | 845 Savannah Hwy, Suite 1c, Charleston, SC 29407-7202 | 2016-02-09 |
| 1366809097 | Kailee Place | Counselor | 22 Windermere Blvd Ste B, Charleston, SC 29407-7492 | 2016-01-26 |
| 1295075778 | Giovonnia Mccall | Counselor | 1521 Larry St, Charleston, SC 29406-3716 | 2013-02-21 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 61920 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.