IndividualActive
Sandra Clark, NCACII, LADC, CCJP
NPI 1306015284 · Addiction (Substance Use Disorder) Counselor · Saint Paul, MN
Provider details
- NPI number
- 1306015284
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- NCACII, LADC, CCJP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 301712 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1885 University Ave W
Suite 20
Saint Paul, MN 55104-3489
Phone: (651) 373-0152
Fax: (763) 767-3145
Street-level locationGet directions
Mailing address
1885 University Ave W
Saint Paul, MN 55104-3489
Registry dates
- Enumerated
- 2008-02-26
- Last updated
- 2008-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.