MAKENNA GRAYSON SANDS – Counselor, NPI 1104523497

MAKENNA GRAYSON SANDS is a healthcare provider. based in Christiansburg, Virginia. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 0704014291 (VA). The NPI Number for MAKENNA GRAYSON SANDS is 1104523497

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MAKENNA GRAYSON SANDS
NPI
1104523497
Phone
(434) 363-3149
Address
400 ROANOKE ST
Enumeration Date
8 February 2023
Last Update Date
16 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5403816215
Graduation Year
2021 (5 years ago)
PAC ID
9931632874
Group Practice PAC ID
7517118532
Professional Enrollment ID
I20241030001917
Address ID
VA240733139CH400XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:3State licenses:2Digital endpointsOther names

1,998 MENTAL HEALTH COUNSELOR in VA

Provider Addresses for MAKENNA GRAYSON SANDS

  • 400 ROANOKE ST

    CHRISTIANSBURG, VA 240733139

    Phone: (434) 363-3149

    Mailing address matches the actual address.

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: 2024-10-30

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
I20241030001917IMental Health CounselorVATBD

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 24073)

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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: 7517118532View full group profile
NameSpecialtyState
Mental Health CounselorVA
Mental Health CounselorVA
Clinical Social WorkerVA
Clinical Social WorkerVA
Mental Health CounselorVA
Mental Health CounselorVA
Mental Health CounselorVA

Reviews

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Frequently asked questions

How is MAKENNA GRAYSON SANDS identified in CMS data?
CMS-hosted NPPES data lists MAKENNA GRAYSON SANDS with NPI 1104523497.
Is MAKENNA GRAYSON SANDS still practicing?
MAKENNA GRAYSON SANDS is currently listed as active in the public NPI registry.
What is MAKENNA GRAYSON SANDS best known for clinically?
Directory data describes MAKENNA GRAYSON SANDS with Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect MAKENNA GRAYSON SANDS on a map?
Expect Christiansburg, Virginia as a primary anchor for MAKENNA GRAYSON SANDS unless the record lists multiple sites.
Is the information about MAKENNA GRAYSON SANDS up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."