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MR. TIMOTHY PATRICK SANDERSON MS, LASAC
NPI 1780209577
Counselor - Addiction (Substance Use Disorder) in Prescott, AZ

Active since June 08, 2020
702 W HILLSIDE AVE, PRESCOTT, AZ 86301(928) 778-5907 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 1, 2020, Jun 8, 2020 (2 updates tracked since 2020).

About Mr. Timothy Patrick Sanderson Ms, Lasac NPPES

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

MR. TIMOTHY PATRICK SANDERSON MS, LASAC (NPI 1780209577) is an individual addiction (substance use disorder) provider in Prescott, Arizona, licensed in Arizona (15345) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1780209577
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. TIMOTHY PATRICK SANDERSONCredential: MS, LASAC
Location Address702 W HILLSIDE AVEPrescott, AZ 86301-1913
Mailing Address702 W Hillside AvePrescott, AZ 86301-1913
Phone(928) 778-5907
Sole ProprietorNo
Enumeration DateJune 8, 2020
Last NPPES UpdateJuly 1, 20202 updates tracked since enumeration
NPPES CertifiedJuly 1, 2020
✔ NPI 1780209577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in AZ · 15345
702 W HILLSIDE AVE, Prescott, AZ 86301
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

MR. WILLIAM JAMES BILBRAY MS, LISAC
Counselor (Addiction (Substance Use Disorder))
702 W HILLSIDE AVE
PRESCOTT, AZ 86301
Yavapai County (928) 710-9229
AUDREY ELAINE MOORE LAC
Counselor (Mental Health)
702 W HILLSIDE AVE
PRESCOTT, AZ 86301
Yavapai County (855) 746-3633
MISS ANDREA NICHOLSON LMSW
Counselor
702 W HILLSIDE AVE
PRESCOTT, AZ 86301
Yavapai County (928) 778-9207

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 Timothy Sanderson's NPI number?

The NPI number for Timothy Sanderson is 1780209577. It was assigned to this individual provider in the NPPES registry on June 8, 2020.

Where is Timothy Sanderson located?

Timothy Sanderson practices at 702 W Hillside Ave, Prescott, AZ 86301. The listed phone number is (928) 778-5907.

What is Timothy Sanderson's specialty?

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

When was this NPI record last updated?

The NPPES record for Timothy Sanderson was last updated on July 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.