TINA SANFORD
NPI 1578018263
Counselor - Professional in Brookfield, WI

Active since August 23, 2016PECOS Enrolled
12645 W BURLEIGH RD STE 19, BROOKFIELD, WI 53005(262) 432-0670(262) 475-0412 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2024, Aug 23, 2016 (2 updates tracked since 2016).

About Tina Sanford NPPES

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

TINA SANFORD (NPI 1578018263) is an individual professional provider in Brookfield, Wisconsin, licensed in Wisconsin (11442-125) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578018263
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTINA SANFORD
Location Address12645 W BURLEIGH RD STE 19Brookfield, WI 53005-3102
Mailing Address12645 W Burleigh Rd Ste 19Brookfield, WI 53005-3102 · (262) 432-0670 · Fax (262) 475-0412
Fax(262) 475-0412
Sole ProprietorYes
Enumeration DateAugust 23, 2016
Last NPPES UpdateDecember 19, 20242 updates tracked since enumeration
NPPES CertifiedDecember 19, 2024
NPI 1578018263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WI · 11442-125
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 11442-125 (WI)
12645 W BURLEIGH RD STE 19, Brookfield, WI 53005

Other Names 1

Professional Name (2)Tina Sanford Lpc

Accepted 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)

Tina Sanford 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
12645 W BURLEIGH RD STE 19
BROOKFIELD, WI 53005

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 Tina Sanford's NPI number?

The NPI number for Tina Sanford is 1578018263. It was assigned to this individual provider in the NPPES registry on August 23, 2016. The provider is also known as Tina Sanford Lpc.

Where is Tina Sanford located?

Tina Sanford practices at 12645 W Burleigh Rd Ste 19, Brookfield, WI 53005. The listed phone number is (262) 432-0670.

What is Tina Sanford's specialty?

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

Is Tina Sanford enrolled in Medicare?

Yes. Tina Sanford is registered in the Medicare PECOS enrollment system.

What insurance does Tina Sanford accept?

Health plans from Medica and UnitedHealthcare list Tina Sanford 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 Tina Sanford was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.