AMY LYNN SANDERSON MA, LCMHC, NCC
NPI 1386009389
Counselor - Professional in Matthews, NC

Q: What is Amy Sanderson's NPI number?

The NPI number for Amy Sanderson is 1386009389. It was assigned to this individual provider in the NPPES registry on December 18, 2015.

Q: What is Amy Sanderson's specialty?

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

Q: Is Amy Sanderson enrolled in Medicare?

No. Amy Sanderson has opted out of Medicare through February 27, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Amy Sanderson was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 December 18, 2015Opted out of Medicare · through Feb 27, 2028

1118 SAM NEWELL RD STE D4, MATTHEWS, NC 28105(248) 396-8810(704) 919-5155 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2023, Jul 22, 2022, Dec 18, 2015 (3 updates tracked since 2015).

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About Amy Lynn Sanderson Ma, Lcmhc, Ncc NPPES

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

AMY LYNN SANDERSON MA, LCMHC, NCC (NPI 1386009389) is an individual professional provider in Matthews, North Carolina, licensed in North Carolina (11665) and active in the NPI registry since December 2015. She has opted out of Medicare through February 27, 2028 and maintains a secondary practice location in Waxhaw.

NPPES Registry Identity

NPI1386009389

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameAMY LYNN SANDERSONCredential: MA, LCMHC, NCC

Location Address1118 SAM NEWELL RD STE D4Matthews, NC 28105-5162

Mailing Address401 Deer Brush LnWaxhaw, NC 28173-6307 · (248) 396-8810

Phone(248) 396-8810

Fax(704) 919-5155

Sole ProprietorYes

Enumeration DateDecember 18, 2015

Last NPPES UpdateJanuary 3, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2023

✔ NPI 1386009389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in NC · 11665

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 11665 (NC)

1118 SAM NEWELL RD STE D4, Matthews, NC 28105

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Secondary Practice Location 1

Location 1401 Deer Brush LnWaxhaw, NC 28173-6307 · Phone (248) 396-8810

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amy Lynn Sanderson Ma, Lcmhc, Ncc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 27, 2024 through February 27, 2028.

Opt-Out Effective DateFebruary 27, 2024

Opt-Out In Effect ThroughFebruary 27, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

MORGAN OLIVIA OLSON

Counselor (Addiction (Substance Use Disorder))