Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANA RENE SANDBOTHE MS, LPC
NPI 1487305611
Counselor - Professional in Columbia, MO

Q: What is Shana Sandbothe's NPI number?

The NPI number for Shana Sandbothe is 1487305611. It was assigned to this individual provider in the NPPES registry on January 10, 2022.

Q: What is Shana Sandbothe's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shana Sandbothe was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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 January 10, 2022PECOS Enrolled

3401 BERRYWOOD DR STE 203, COLUMBIA, MO 65201(573) 777-8455(573) 777-8465 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2026, Apr 6, 2026, Mar 8, 2024 and 2 more (5 updates tracked since 2022).

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About Shana Rene Sandbothe Ms, Lpc NPPES

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

SHANA RENE SANDBOTHE MS, LPC (NPI 1487305611) is an individual professional provider in Columbia, Missouri, licensed in Missouri (2022010248) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kirksville.

NPPES Registry Identity

NPI1487305611

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSHANA RENE SANDBOTHECredential: MS, LPC

Location Address3401 BERRYWOOD DR STE 203Columbia, MO 65201-6515

Mailing AddressPo Box 844715Kansas City, MO 64184-4715 · (417) 761-5214 · Fax (417) 761-5065

Phone(573) 777-8455

Fax(573) 777-8465

Sole ProprietorNo

Enumeration DateJanuary 10, 2022

Last NPPES UpdateJuly 27, 20265 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1487305611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MO · 2022010248

3401 BERRYWOOD DR STE 203, Columbia, MO 65201

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Secondary Practice Location 1

Location 1900 E Laharpe StKirksville, MO 63501-4520 · Phone (660) 665-1962 · Fax (660) 665-3989

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.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)

Shana Rene Sandbothe 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.

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.

GRACE E WILDENHAUS MSW, LCSW

Social Worker (Clinical)