SANDRA GABRIEL LUSTRE – Mental Health Counselor, NPI 1952043622

SANDRA GABRIEL LUSTRE is a healthcare provider. based in Hastings, Nebraska. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 3161 (NE). The NPI Number for SANDRA GABRIEL LUSTRE is 1952043622

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA GABRIEL LUSTRE
NPI
1952043622
Phone
(402) 705-4089
Address
122 E PAUL ST
Enumeration Date
12 April 2022
Last Update Date
8 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4028340884
Graduation Year
2018 (8 years ago)
PAC ID
6901321686
Group Practice PAC ID
5597185173
Professional Enrollment ID
I20250415002104
Address ID
NE689012604HA1809XAVEX400

Contacts

Other Endpoint
Hastings
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

843 MENTAL HEALTH COUNSELOR in NE

Provider Addresses for SANDRA GABRIEL LUSTRE

  • 122 E PAUL ST

    HASTINGS, NE 689017025

    Phone: (402) 705-4089

    Type: Mailing

  • 307 W STOLLEY PARK RD APT 1

    GRAND ISLAND, NE 688017470

    Phone: (402) 705-4089

    Type: Mailing

  • 2424 S LOCUST ST STE C

    GRAND ISLAND, NE 688018316

    Phone: (086) 755-3013

    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: 2025-04-15

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
I20250415002104IMental Health CounselorNETBD

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 68901)

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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: 5597185173View full group profile
NameSpecialtyState
Mental Health CounselorNE
Mental Health CounselorNE
Clinical Social WorkerNE
Mental Health CounselorNE
Mental Health CounselorNE

Reviews

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Frequently asked questions

What federal number belongs to SANDRA GABRIEL LUSTRE?
The federal identifier for SANDRA GABRIEL LUSTRE is NPI 1952043622.
Is SANDRA GABRIEL LUSTRE's NPI currently valid?
The extract we use shows SANDRA GABRIEL LUSTRE as active.
What field does SANDRA GABRIEL LUSTRE work in?
You can think of SANDRA GABRIEL LUSTRE as practicing within Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is SANDRA GABRIEL LUSTRE's primary listing?
We display Hastings, Nebraska because that is what the record indicates for SANDRA GABRIEL LUSTRE.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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