KRISTIN SANDUSKY – Mental Health Counselor, NPI 1083323208

KRISTIN SANDUSKY is a healthcare provider. based in Bradenton, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 21496 (FL). The NPI Number for KRISTIN SANDUSKY is 1083323208

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN SANDUSKY
NPI
1083323208
Phone
(941) 518-0823
Address
1208 59TH ST W
Enumeration Date
16 November 2022
Last Update Date
16 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9417920802
Graduation Year
2020 (6 years ago)
PAC ID
2062864713
Group Practice PAC ID
7012199565
Professional Enrollment ID
I20240117004704
Address ID
FL342093740BR5131XWXXX400
Telehealth
Yes

Contacts

Secure Messaging
bcc@counselingsecure.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

3,020 MENTAL HEALTH COUNSELOR in FL

Provider Addresses for KRISTIN SANDUSKY

  • 1208 59TH ST W

    BRADENTON, FL 342094154

    Phone: (941) 518-0823

    Type: Mailing

  • 5131 MANATEE AVE W

    BRADENTON, FL 342093740

    Phone: (941) 792-0802

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240117004704IMental Health CounselorFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34209)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012199565View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Mental Health CounselorFL
Clinical Social WorkerFL
-FL
Mental Health CounselorFL
Clinical Social WorkerNC
Clinical Social WorkerFL

Reviews

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Frequently asked questions

What identifier follows KRISTIN SANDUSKY across health systems?
The NPI 1083323208 uniquely identifies KRISTIN SANDUSKY in U.S. healthcare data.
Should I treat KRISTIN SANDUSKY as an active provider?
Patients and plans typically see KRISTIN SANDUSKY as active in the national extract.
What does the directory say KRISTIN SANDUSKY does?
Insurance directories may phrase it differently, but here KRISTIN SANDUSKY maps to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Can patients visit KRISTIN SANDUSKY in Bradenton, Florida?
For routing, start with Bradenton, Florida for KRISTIN SANDUSKY, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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