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: August 16, 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

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. 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.

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.

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 15 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.