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KIMBERLY ANN SANDSTROM LPC
NPI 1538568910
Counselor - Professional in De Pere, WI

Active since August 21, 2014PECOS EnrolledAccepts Medicare Assignment
555 REDBIRD CIR, DE PERE, WI 54115(920) 338-6830(920) 338-6879 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Ann Sandstrom Lpc NPPES

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

KIMBERLY ANN SANDSTROM LPC (NPI 1538568910) is an individual professional provider in De Pere, Wisconsin, licensed in Wisconsin (4736-125) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1538568910
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLY ANN SANDSTROMCredential: LPC
Location Address555 REDBIRD CIRDe Pere, WI 54115-7977
Mailing AddressPo Box 22040Green Bay, WI 54305-2040 · (920) 445-7220 · Fax (920) 445-7289
Phone(920) 338-6830
Fax(920) 338-6879
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 21, 2014
Last NPPES UpdateJune 18, 2020
NPPES CertifiedJune 18, 2020
✔ NPI 1538568910 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 WI · 4736-125
555 REDBIRD CIR, De Pere, WI 54115
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1301 E Saint Joseph StGreen Bay, WI 54301-2241 · Phone (920) 433-3630 · Fax (920) 437-0533
Location 2720 S VanBuren StGreen Bay, WI 54301-3534 · Phone (920) 433-6073 · Fax (920) 432-6313

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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 and accepts Medicare assignment

Kimberly Ann Sandstrom Lpc 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 ID9739539776
PECOS Enrollment IDI20240103001118
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.

BOZENA J BIERNAT MD
Internal Medicine
555 REDBIRD CIR, SUITE 300
DE PERE, WI 54115
Brown County (920) 338-6870
CHARIS N CARTER DPT
Physical Therapist
555 REDBIRD CIR
DE PERE, WI 54115
Brown County (920) 338-6870
RONELLE M MOE MD
Internal Medicine
555 REDBIRD CIR, SUITE 300
DE PERE, WI 54115
Brown County (920) 338-6870
BELLIN PSYCHIATRIC CENTER INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
555 REDBIRD CIR
DE PERE, WI 54115
Brown County (920) 338-6830
MATTHEW R. THEADO M.D.
Pediatrics
555 REDBIRD CIR, SUITE 200
DE PERE, WI 54115
Brown County (920) 338-6820
BELLIN MEMORIAL HOSPITAL INC
Pediatrics
555 REDBIRD CIR
DE PERE, WI 54115
Brown County (920) 338-6820
COURTNEY M QUINN-SCOTT PT, DPT
Physical Therapist
555 REDBIRD CIR
DE PERE, WI 54115
Brown County (920) 338-6870
DR. RODERICK L MEVES MD
Internal Medicine
555 REDBIRD CIR
DE PERE, WI 54115
Brown County (920) 338-6870

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Sandstrom's NPI number?

The NPI number for Kimberly Sandstrom is 1538568910. It was assigned to this individual provider in the NPPES registry on August 21, 2014.

Where is Kimberly Sandstrom located?

Kimberly Sandstrom practices at 555 Redbird Cir, De Pere, WI 54115. The listed phone number is (920) 338-6830.

What is Kimberly Sandstrom's specialty?

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

Is Kimberly Sandstrom enrolled in Medicare?

Yes. Kimberly Sandstrom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kimberly Sandstrom accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Medica list Kimberly Sandstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Sandstrom was last updated on June 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.