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SANDRA RAQUEL MILSTEIN-OSTROM LMFT, APCC
NPI 1548754351
Marriage & Family Therapist in San Diego, CA

Active since June 15, 2018PECOS EnrolledAccepts Medicare Assignment
9921 CARMEL MOUNTAIN RD # 194, SAN DIEGO, CA 92129(858) 215-1601(858) 223-7822 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 7, 2020, Sep 15, 2020, Sep 8, 2020 and 2 more (5 updates tracked since 2018).

About Sandra Raquel Milstein-ostrom Lmft, Apcc NPPES

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

SANDRA RAQUEL MILSTEIN-OSTROM LMFT, APCC (NPI 1548754351) is an individual marriage & family therapist in San Diego, California, licensed in California (121126) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1548754351
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSANDRA RAQUEL MILSTEIN-OSTROMCredential: LMFT, APCC
Location Address9921 CARMEL MOUNTAIN RD # 194San Diego, CA 92129-2813
Mailing Address9921 Carmel Mountain Rd # 194San Diego, CA 92129-2813 · (619) 922-1012
Phone(858) 215-1601
Fax(858) 223-7822
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 15, 2018
Last NPPES UpdateFebruary 24, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2026
✔ NPI 1548754351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 121126
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
9921 CARMEL MOUNTAIN RD # 194, San Diego, CA 92129
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Other Names 1

Former Name (1)Sandra Rosenstein

Secondary Practice Location 1

Location 19539 Bayamon RdSan Diego, CA 92129-2873 · Phone (619) 922-1012

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

Sandra Raquel Milstein-ostrom Lmft, Apcc 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 ID6901241231
PECOS Enrollment IDI20240229001042
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 Sandra Milstein-ostrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Better Life Family Counseling, Inc.
3.0 mi
Marriage & Family Therapist
12929 POMERADO ROAD; POWAY
Poway, CA 92064
  • Reassigned Medicare billing, California enrollment
NPI 1821746637 (858) 215-1601

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

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 Sandra Milstein-ostrom's NPI number?

The NPI number for Sandra Milstein-ostrom is 1548754351. It was assigned to this individual provider in the NPPES registry on June 15, 2018. The provider is also known as Sandra Rosenstein.

Where is Sandra Milstein-ostrom located?

Sandra Milstein-ostrom practices at 9921 Carmel Mountain Rd # 194, San Diego, CA 92129. The listed phone number is (858) 215-1601.

What is Sandra Milstein-ostrom's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Sandra Milstein-ostrom enrolled in Medicare?

Yes. Sandra Milstein-ostrom 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.

Which organization bills Medicare for Sandra Milstein-ostrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Milstein-ostrom reassigns Medicare benefits to Better Life Family Counseling, Inc. (Poway, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Milstein-ostrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sandra Milstein-ostrom was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.