JAN M SANFORD LPC-MH QMHP LSWA NPI 1538211701

NPI Information

NPI: 1538211701
Provider Name: JAN M SANFORD, LPC-MH, QMHP, LSWA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
309 2ND AVE SE
WATERTOWN, SD
ZIP 57201
Phone: (605) 886-6321
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Jan M Sanford, LPC-MH, QMHP, LSWA is a mental health counselor in Watertown, SD. Jan M Sanford, LPC-MH, QMHP, LSWA NPI is 1538211701. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

309 2ND AVE SE
WATERTOWN, SD
ZIP 57201-621
Phone: (605) 886-6321
Fax: (605) 886-6306

The enumeration date for this NPI number is 1/17/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LPC-MH 2087	SOUTH DAKOTA	Yes
2	101YP2500X	Counselor	Professional	LPC-MH 2087	SOUTH DAKOTA	X
3	104100000X	Social Worker		LSWA 2146	SOUTH DAKOTA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20202	OTHER	SOUTH DAKOTA	SIOUX VALLEY HEALTH PLAN
2	6575620	MEDICAID	SOUTH DAKOTA
3	11350	OTHER		MIDLANDS CHOICE
4	9173854	OTHER	SOUTH DAKOTA	DAKOTACARE
5	4997066	OTHER	SOUTH DAKOTA	BLUE CROSS BLUE SHEILD
6	46045	OTHER	SOUTH DAKOTA	AVERA HEALTH PLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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