Sandi Rose Ellerbe, SUDCC 8646
NPI 1528590262ActiveIndividual· Rehabilitation Practitioner· Fairfield, CA
Rehabilitation Practitioner (SUDCC 8646) in Fairfield, California, licensed in CA, with an NPI issued in March 2017.
Overview
| NPI | 1528590262 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | SUDCC 8646 |
| Sole proprietor | Yes |
| NPI issued | Mar 31, 2017 |
| Last updated in NPPES | Aug 30, 2023 |
| Certified by provider | Aug 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | — | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 8646 | CA |
| Counselor, Mental Health | 101YM0800X | — | — |
| Community Health Worker | 172V00000X | — | — |
| Peer Specialist | 175T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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