SANDRA STASKO MS LPC
NPI 1437573433
Counselor - Mental Health in Holland, MI

Q: What is Sandra Stasko's NPI number?

The NPI number for Sandra Stasko is 1437573433. It was assigned to this individual provider in the NPPES registry on February 11, 2014.

Q: What is Sandra Stasko'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 Sandra Stasko was last updated on October 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 11, 2014PECOS Enrolled

12265 JAMES ST, HOLLAND, MI 49424(616) 494-5600 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 14, 2022, Jun 4, 2019 (2 updates tracked since 2019).

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About Sandra Stasko Ms Lpc NPPES

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

SANDRA STASKO MS LPC (NPI 1437573433) is an individual mental health provider in Holland, Michigan, licensed in Michigan (6401014082) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437573433

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSANDRA STASKOCredential: MS LPC

Location Address12265 JAMES STHolland, MI 49424-8613

Mailing Address13246 84th AveCoopersville, MI 49404-9733 · (720) 935-1187

Phone(616) 494-5600

Sole ProprietorNo

Enumeration DateFebruary 11, 2014

Last NPPES UpdateOctober 14, 20222 updates tracked since enumeration

NPPES CertifiedOctober 14, 2022

✔ NPI 1437573433 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 MI · 6401014082

12265 JAMES ST, Holland, MI 49424

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Secondary Practice Locations 2

Location 11145 W Randall St Ste 2ACoopersville, MI 49404-1393 · Phone (616) 361-5001

Location 213246 84th AveCoopersville, MI 49404-9733 · Phone (616) 987-0122

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Stasko Ms Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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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.

SHERYL ANN MASCORRO RN

Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)