SANDRARAE VENITA HYATT BS. MA
NPI 1306308713
Counselor - Mental Health in Alton, IL

Q: What is Sandrarae Hyatt's NPI number?

The NPI number for Sandrarae Hyatt is 1306308713. It was assigned to this individual provider in the NPPES registry on April 3, 2019. The provider is also known as Sandrarae Venita Rigsby Lcpc.

Q: What is Sandrarae Hyatt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sandrarae Hyatt was last updated on June 21, 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.

Active since April 03, 2019PECOS EnrolledAccepts Medicare Assignment

2615 EDWARDS ST, ALTON, IL 62002(618) 462-2331(618) 462-2504 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 21, 2024, Jan 11, 2022, Apr 3, 2019 (3 updates tracked since 2019).

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About Sandrarae Venita Hyatt Bs. Ma NPPES

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

SANDRARAE VENITA HYATT BS. MA (NPI 1306308713) is an individual mental health provider in Alton, Illinois, licensed in Illinois (180.014126) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1306308713

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSANDRARAE VENITA HYATTCredential: BS. MA

Location Address2615 EDWARDS STAlton, IL 62002-3915

Mailing Address902 W Main StWest Frankfort, IL 62896-2210 · (618) 937-6483 · Fax (618) 937-1440

Phone(618) 462-2331

Fax(618) 462-2504

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 3, 2019

Last NPPES UpdateJune 21, 20243 updates tracked since enumeration

NPPES CertifiedJune 21, 2024

✔ NPI 1306308713 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 IL · 180.014126

2615 EDWARDS ST, Alton, IL 62002

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Other Names 1

Former Name (1)Sandrarae Venita Rigsby Lcpc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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

Sandrarae Venita Hyatt Bs. Ma 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 ID2365986049

PECOS Enrollment IDI20240705001496

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 20

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

ELISSHA LENHARDT

Counselor (Mental Health)