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MARY SANDOVAL LCPC
NPI 1003545518
Counselor - Professional in Anaconda, MT

Active since June 09, 2022PECOS Enrolled
200 POLK ST, ANACONDA, MT 59711(406) 691-2075 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 15, 2026, Jun 9, 2022 (2 updates tracked since 2022).

About Mary Sandoval Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY SANDOVAL LCPC (NPI 1003545518) is an individual professional provider in Anaconda, Montana, licensed in Montana (BBH-LCPC-LIC-53516) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1003545518
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY SANDOVALCredential: LCPC
Location Address200 POLK STAnaconda, MT 59711-9611
Mailing Address200 Polk StAnaconda, MT 59711-9611 · (406) 691-2075
Phone(406) 691-2075
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 9, 2022
Last NPPES UpdateJanuary 15, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1003545518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MT · BBH-LCPC-LIC-53516
200 POLK ST, Anaconda, MT 59711
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Sandoval Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153898838
PECOS Enrollment IDI20260430001465
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SERENA LYNN POLICH MSW
Social Worker
200 POLK ST
ANACONDA, MT 59711
Deer Lodge County (406) 563-7059

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Sandoval's NPI number?

The NPI number for Mary Sandoval is 1003545518. It was assigned to this individual provider in the NPPES registry on June 9, 2022.

Where is Mary Sandoval located?

Mary Sandoval practices at 200 Polk St, Anaconda, MT 59711. The listed phone number is (406) 691-2075.

What is Mary Sandoval's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mary Sandoval enrolled in Medicare?

Yes. Mary Sandoval is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Sandoval was last updated on January 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.