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Active NPI 1104420462 Individual Practitioner Female Practitioner

Sandra Lynn Johnson , LPC LLC

Counselor - Professional • Mancos, CO

Professional Overview & Biography Verified Profile Summary

Sandra Johnson, LPC LLC is a registered healthcare professional specializing in Counselor - Professional in Mancos, CO. Practice services are available at 631 W RAILROAD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

631 W Railroad Ave

Mancos, CO 813289049

Telephone 9708802599

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Mancos, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Mancos, CO (7054 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-04
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License CO 3424

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 04, 2024

Registered at 631 W RAILROAD AVE, MANCOS, CO 813289049 (Tel: 9708802599)

📍
Updated Business Mailing Address September 04, 2024

Registered at 631 W RAILROAD AVE, MANCOS, CO 813289049 (Tel: 9708802599)

👤
Provider Name / Credentials Updated September 04, 2024

Recorded as SANDRA JOHNSON, LPC LLC

NPI Profile Active November 27, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 27, 2020

Registered at 1305 ESCALANTE DR STE 203, DURANGO, CO 813038932 (Tel: 9703940687)

📍
Updated Business Mailing Address November 27, 2020

Registered at 11193 COUNTY ROAD 250, DURANGO, CO 813018650 (Tel: 9708802599)

👤
Provider Name / Credentials Updated November 27, 2020

Recorded as SANDRA JOHNSON, MA, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2020

Counselor (License #3424 in CO)

🟢
Initial NPI Registration & Enumeration November 27, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104420462
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 27, 2020
Last Update: September 04, 2024
Sole Proprietor: Yes

Mailing Address

631 W Railroad Ave

Mancos, CO 813289049

Phone: 9708802599

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.