1. Home
  2. Directory
  3. Washington
  4. Tumwater
  5. Counselor
  6. NPI Profile

SANDRA ANN CKODRE B.A.
NPI 1114447885
Counselor - Mental Health in Tumwater, WA

Active since June 23, 2017
1275 2ND AVE SW, TUMWATER, WA 98512(360) 292-1182(360) 292-1184 Get Directions Write a Review

NPPES record last updated: June 23, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sandra Ann Ckodre B.a. NPPES

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

SANDRA ANN CKODRE B.A. (NPI 1114447885) is an individual mental health provider in Tumwater, Washington, licensed in Washington (CG60150465) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1114447885
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSANDRA ANN CKODRECredential: B.A.
Location Address1275 2ND AVE SWTumwater, WA 98512-6976
Mailing Address3857 Martin Way EOlympia, WA 98506-5268 · (360) 704-7170 · Fax (360) 709-4374
Phone(360) 292-1182
Fax(360) 292-1184
Sole ProprietorYes
Enumeration DateJune 23, 2017
✔ NPI 1114447885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in WA · CG60150465✔ Licensed in WA · 100188
1275 2ND AVE SW, Tumwater, WA 98512
Open in Google Maps ↗

Other Identifiers 1

Medicaid100188WA

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 Sandra Ckodre's NPI number?

The NPI number for Sandra Ckodre is 1114447885. It was assigned to this individual provider in the NPPES registry on June 23, 2017.

Where is Sandra Ckodre located?

Sandra Ckodre practices at 1275 2nd Ave SW, Tumwater, WA 98512. The listed phone number is (360) 292-1182.

What is Sandra Ckodre's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Sandra Ckodre was last updated on June 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.