SANDY VASQUEZ-GARCIA
NPI 1497366827
Counselor - Addiction (Substance Use Disorder) in Chardon, OH

Q: What is Sandy Vasquez-garcia's NPI number?

The NPI number for Sandy Vasquez-garcia is 1497366827. It was assigned to this individual provider in the NPPES registry on August 10, 2020.

Q: What is Sandy Vasquez-garcia's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since August 10, 2020PECOS EnrolledAccepts Medicare Assignment

12557 RAVENWOOD DR, CHARDON, OH 44024(440) 285-3568 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2022, Jan 7, 2022, Sep 28, 2021 and 2 more (5 updates tracked since 2020).

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About Sandy Vasquez-garcia NPPES

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

SANDY VASQUEZ-GARCIA (NPI 1497366827) is an individual addiction (substance use disorder) provider in Chardon, Ohio, licensed in Ohio (C.2204568) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1497366827

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameSANDY VASQUEZ-GARCIA

Location Address12557 RAVENWOOD DRChardon, OH 44024-9009

Mailing Address12557 Ravenwood DrChardon, OH 44024-9009 · (440) 285-3568 · Fax (440) 632-5277

Phone(440) 285-3568

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 10, 2020

Last NPPES UpdateDecember 2, 20225 updates tracked since enumeration

NPPES CertifiedDecember 2, 2022

✔ NPI 1497366827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OH · C.2204568

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License C.2103428-TRNE (OH)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License C.2103428-TRNE (OH)

12557 RAVENWOOD DR, Chardon, OH 44024

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandy Vasquez-garcia 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 ID8921533480

PECOS Enrollment IDI20241121001683

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.

Medicare Billing Reassignment

Medicare enrollment records show Sandy Vasquez-garcia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ravenwood Mental Health Center

Same address

Mental Health (Including Community Mental Health Center)

12557 RAVENWOOD DR
Chardon, OH 44024

Reassigned Medicare billing, Ohio enrollment
97 clinicians in this Medicare group

NPI 1053345975 (440) 285-3568

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KAILYN JOAN RATLIFF LPN

Licensed Practical Nurse