SANDRA OLIVIA KHUMALO
NPI 1609725092
Counselor in Mesa, AZ
- Individual
- Female
- Counselor
About SANDRA KHUMALO
This page provides the complete NPI Profile along with additional information for Sandra Khumalo, a provider established in Mesa, Arizona with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1609725092 assigned on January 2026. The practitioner's primary taxonomy code is 101Y00000X with license number OTC23011 (AZ). The provider is registered as an individual and her NPI record was last updated January 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1609725092 Verify this NPI
- Provider Name
- SANDRA OLIVIA KHUMALO
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1102 S. ORACLE SUITE 18B - BUILDING 4 MESA, AZ 85204
- Location Phone
- (623) 326-5719
- Location Fax
- (620) 647-4819
- Mailing Address
- 1818 E SOUTHERN AVE STE 18B MESA, AZ 85204
- Mailing Phone
- (623) 326-5719
- Mailing Fax
- (620) 647-4819
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-27-2026
- Last Update Date
- 01-30-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- OTC23011
- License State
- AZ
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609725092, enumerated as an "individual" on January 27, 2026.
The provider is located at 1102 S. ORACLE SUITE 18B - BUILDING 4 MESA, AZ 85204 and the phone number is (623) 326-5719.
Counselor with taxonomy code 101Y00000X.
