JILL SANDIE LCSW
NPI 1922701879
Counselor - Mental Health in Port Jefferson Station, NY

Active since March 22, 2023PECOS Enrolled
1 NANCY ST, PORT JEFFERSON STATION, NY 11776(631) 513-0681 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 2, 2024, Mar 22, 2023 (2 updates tracked since 2023).

About Jill Sandie Lcsw NPPES

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

JILL SANDIE LCSW (NPI 1922701879) is an individual mental health provider in Port Jefferson Station, New York, licensed in New York (090022) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922701879
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJILL SANDIECredential: LCSW
Location Address1 NANCY STPort Jefferson Station, NY 11776-1805
Mailing Address1 Nancy StPort Jefferson Station, NY 11776-1805 · (631) 513-0681
Sole ProprietorYes
Enumeration DateMarch 22, 2023
Last NPPES UpdateAugust 2, 20242 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
NPI 1922701879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NY · 090022
1 NANCY ST, Port Jefferson Station, NY 11776

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jill Sandie Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jill Sandie's NPI number?

The NPI number for Jill Sandie is 1922701879. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Jill Sandie located?

Jill Sandie practices at 1 Nancy St, Port Jefferson Station, NY 11776. The listed phone number is (631) 513-0681.

What is Jill Sandie's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jill Sandie enrolled in Medicare?

Yes. Jill Sandie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jill Sandie was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.