Tina Sanford, - Counselor in Brookfield, WI

Tina Sanford, is a Counselor - Addiction (substance Use Disorder) based in Brookfield, Wisconsin. Tina Sanford is licensed to practice in Wisconsin (license number 17676-130) and her current practice location is 12645 W Burleigh Rd Ste 19, Brookfield, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 432-0670.

NPI number for Tina Sanford is 1578018263 and her current mailing address is 12645 W Burleigh Rd Ste 19, Brookfield, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578018263.

Contact Information

Tina Sanford,
12645 W Burleigh Rd Ste 19,
Brookfield, WI 53005-3102
(262) 432-0670
(262) 475-0412

Healthcare Provider's Profile

Full NameTina Sanford
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location12645 W Burleigh Rd Ste 19, Brookfield, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1578018263
  • Provider Enumeration Date: 08/23/2016
  • Last Update Date: 09/12/2023

Medical Identifiers

Medical identifiers for Tina Sanford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578018263NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 4810-226 (Wisconsin)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) 17676-130 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tina Sanford is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tina Sanford,
12645 W Burleigh Rd Ste 19,
Brookfield, WI 53005-3102

Ph: (262) 432-0670
Tina Sanford,
12645 W Burleigh Rd Ste 19,
Brookfield, WI 53005-3102

Ph: (262) 432-0670

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› Verified 4 days ago


Counselor in Brookfield, WI

Amanda L Franzen,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 16535 W Bluemound Rd Ste 305, Brookfield, WI 53005
Phone: 800-438-1772    Fax: 262-345-5562
Kristen Stodola,
Counselor
Medicare: Medicare Enrolled
Practice Location: 17100 W North Ave, Brookfield, WI 53005
Phone: 262-244-6177    
Ann Elizabeth Brunner, MA, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 16655 W Bluemound Rd Ste 330, Brookfield, WI 53005
Phone: 262-786-9184    Fax: 262-786-1906
Emily Kathryn Olson, ATR, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 12630 W North Ave Bldg E, Brookfield, WI 53005
Phone: 262-785-1008    
Susan Marie Condon,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 18000 W Sarah Ln, Brookfield, WI 53045
Phone: 262-267-8560    
Leah K Stadel,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 16535 W Bluemound Rd Ste 305, Brookfield, WI 53005
Phone: 800-438-1772    Fax: 262-345-5562
Mrs. Kewonia Hogans-rhodes, MS, CRC, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 13105 W Bluemound Rd Ste 100, Brookfield, WI 53005
Phone: 262-754-5925    

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