Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sandrarae Venita Hyatt, BSMA

Individual provider Mental Health Counselor · NPI 1306308713

Sandrarae Venita Hyatt, BSMA is a Mental Health Counselor in Alton, Illinois. Qualified in 2017, 9 years ago. Practices with Centerstone of Illinois Inc, a 43-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2019
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Practice location Address checks out

2615 Edwards St
Alton, IL 62002-3915
Phone: (618) 462-2331
Fax: (618) 462-2504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 180.014126 (IL)

Record details

NPI number1306308713
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSMA
Sole proprietorNo
NPI enumeratedApril 3, 2019
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Centerstone Of Illinois Inc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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