MRS. SANDRA PROVENCIO
NPI 1831346816
Marriage & Family Therapist in Santa Maria, CA

Active since August 21, 2008PECOS EnrolledAccepts Medicare Assignment
1414 S MILLER ST STE S, SANTA MARIA, CA 93454(805) 720-2809(805) 287-9198 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2026, Feb 28, 2023, Sep 23, 2021 and 2 more (5 updates tracked since 2017).

About Mrs. Sandra Provencio NPPES

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

MRS. SANDRA PROVENCIO (NPI 1831346816) is an individual marriage & family therapist in Santa Maria, California, licensed in California (87223) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1831346816
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. SANDRA PROVENCIO
Location Address1414 S MILLER ST STE SSanta Maria, CA 93454-6962
Mailing Address800 S Broadway Ste 203Santa Maria, CA 93454-6623 · (805) 720-2809 · Fax (805) 287-9198
Fax(805) 287-9198
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 21, 2008
Last NPPES UpdateMarch 9, 20265 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
NPI 1831346816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 87223
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.
1414 S MILLER ST STE S, Santa Maria, CA 93454

Other Names 1

Former Name (1)Sandra Sanchez

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

Mrs. Sandra Provencio 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 ID6709238785
PECOS Enrollment IDI20240115001688
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 4

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

Dentist (General Practice)
1414 S MILLER ST STE S
SANTA MARIA, CA 93454
Marriage & Family Therapist
1414 S MILLER ST STE S
SANTA MARIA, CA 93454
Social Worker (Clinical)
1414 S MILLER ST STE S
SANTA MARIA, CA 93454
Marriage & Family Therapist
1414 S MILLER ST STE S
SANTA MARIA, CA 93454

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 Provencio's NPI number?

The NPI number for Sandra Provencio is 1831346816. It was assigned to this individual provider in the NPPES registry on August 21, 2008. The provider is also known as Sandra Sanchez.

Where is Sandra Provencio located?

Sandra Provencio practices at 1414 S Miller St Ste S, Santa Maria, CA 93454. The listed phone number is (805) 720-2809.

What is Sandra Provencio's specialty?

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

Is Sandra Provencio enrolled in Medicare?

Yes. Sandra Provencio 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.

When was this NPI record last updated?

The NPPES record for Sandra Provencio was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.