TINA SANFORD NPI 1578018263

NPI Information

  • NPI: 1578018263
  • Provider Name: TINA SANFORD
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12645 W BURLEIGH RD STE 19
    BROOKFIELD, WI
    ZIP 53005
  • Phone: (262) 432-0670

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NPI Details

Tina Sanford is a professional counselor in Brookfield, WI. Tina Sanford NPI is 1578018263. 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:

12645 W BURLEIGH RD STE 19
BROOKFIELD, WI
ZIP 53005-102
Phone: (262) 432-0670
Fax: (262) 475-0412

The NPI 1578018263 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/23/2016 and was last updated on 12/19/2024.

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
1101YP2500XCounselorProfessional11442-125WISCONSINYes
2101YA0400XCounselorAddiction (Substance Use Disorder)11442-125WISCONSINNo

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: 3/30/2025

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