MS. SANDRA CECELIA BODGE CASE MANAGER
NPI 1235181371
Counselor - Mental Health in El Prado, NM

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
67 SUGAR LN, EL PRADO, NM 87529(575) 770-2404 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Sandra Cecelia Bodge Case Manager NPPES

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

MS. SANDRA CECELIA BODGE CASE MANAGER (NPI 1235181371) is an individual mental health provider in El Prado, New Mexico, licensed in New Mexico (T-0096331) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1235181371
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. SANDRA CECELIA BODGECredential: CASE MANAGER
Location Address67 SUGAR LNEl Prado, NM 87529
Mailing AddressPob 2916Ranchos De Taos, NM 87557 · (505) 770-2404
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateMay 17, 2006
Last NPPES UpdateJanuary 22, 2024
NPPES CertifiedDecember 12, 2023
NPI 1235181371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NM · T-0096331
67 SUGAR LN, El Prado, NM 87529

Other Names 1

Former Name (1)Sandra Bodge Kay Lmhc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Sandra Cecelia Bodge Case Manager is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527585223
PECOS Enrollment IDI20250506003082
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 Bodge's NPI number?

The NPI number for Sandra Bodge is 1235181371. It was assigned to this individual provider in the NPPES registry on May 17, 2006. The provider is also known as Sandra Bodge Kay Lmhc.

Where is Sandra Bodge located?

Sandra Bodge practices at 67 Sugar Ln, El Prado, NM 87529. The listed phone number is (575) 770-2404.

What is Sandra Bodge's specialty?

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

Is Sandra Bodge enrolled in Medicare?

Yes. Sandra Bodge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sandra Bodge was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.