MRS. DENISE SANDOVAL MED, LCPC
NPI 1861868218
Counselor - Professional in La Grange, IL

Active since August 19, 2015PECOS EnrolledAccepts Medicare Assignment
21 S LA GRANGE RD STE 200, LA GRANGE, IL 60525(708) 955-1522 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 13, 2019, Feb 15, 2019 (2 updates tracked since 2019).

About Mrs. Denise Sandoval Med, Lcpc NPPES

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

MRS. DENISE SANDOVAL MED, LCPC (NPI 1861868218) is an individual professional provider in La Grange, Illinois, licensed in Illinois (180011932) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1861868218
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. DENISE SANDOVALCredential: MED, LCPC
Location Address21 S LA GRANGE RD STE 200La Grange, IL 60525-2479
Mailing Address4106 Gage AveLyons, IL 60534-1408 · (708) 955-1522
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 19, 2015
Last NPPES UpdateApril 22, 20252 updates tracked since enumeration
NPPES CertifiedApril 22, 2025
✔ NPI 1861868218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180011932
21 S LA GRANGE RD STE 200, La Grange, IL 60525

Secondary Practice Location 1

Location 1111 W Jackson Blvd Ste 1700Chicago, IL 60604-3597 · Phone (415) 424-4266 · Fax (415) 520-6633

Accepted Insurance

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

Mrs. Denise Sandoval Med, Lcpc 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 ID5799269296
PECOS Enrollment IDI20260324000089
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 Denise Sandoval reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
3450 OAKTON ST
Skokie, IL 60076
  • Reassigned Medicare billing, Illinois enrollment
  • 491 clinicians in this Medicare group

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 Denise Sandoval's NPI number?

The NPI number for Denise Sandoval is 1861868218. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Where is Denise Sandoval located?

Denise Sandoval practices at 21 S La Grange Rd Ste 200, La Grange, IL 60525. The listed phone number is (708) 955-1522.

What is Denise Sandoval's specialty?

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

Is Denise Sandoval enrolled in Medicare?

Yes. Denise Sandoval 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 Denise Sandoval's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Sandoval reassigns Medicare benefits to Vitae Health Medical Illinois, PLLC (Skokie, IL). 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 Denise Sandoval's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denise Sandoval accept?

Health plans from Oscar Health list Denise Sandoval 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 Denise Sandoval was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.