MS. SANDRA LYNN CANTRELL LMFT
NPI 1164512604
Marriage & Family Therapist in Modesto, CA

Active since October 13, 2006PECOS Enrolled
948 11TH ST STE 11B, MODESTO, CA 95354(209) 614-8226(209) 576-1470 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Sandra Lynn Cantrell Lmft NPPES

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

MS. SANDRA LYNN CANTRELL LMFT (NPI 1164512604) is an individual marriage & family therapist in Modesto, California, licensed in California (MFC39505) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1164512604
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. SANDRA LYNN CANTRELLCredential: LMFT
Location Address948 11TH ST STE 11BModesto, CA 95354-2339
Mailing AddressPo Box 323Hilmar, CA 95324-0323 · (209) 667-0396 · Fax (209) 576-1470
Fax(209) 576-1470
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1164512604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · MFC39505
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
948 11TH ST STE 11B, Modesto, CA 95354

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Sandra Lynn Cantrell Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799272225
PECOS Enrollment IDI20251016004230
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.

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 Cantrell's NPI number?

The NPI number for Sandra Cantrell is 1164512604. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Sandra Cantrell located?

Sandra Cantrell practices at 948 11th St Ste 11B, Modesto, CA 95354. The listed phone number is (209) 614-8226.

What is Sandra Cantrell's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Sandra Cantrell enrolled in Medicare?

Yes. Sandra Cantrell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sandra Cantrell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.