Sara Mousikos

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW15095 Issued in FL

Practice address

454 S Yonge St
Ormond Beach, FL 32174-7501

Phone

(772) 453-8119

NPI assigned

May 4, 2022

Last updated

Aug 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: sara.mousikos.p1@direct.smahealthcare.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1023753910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 RIVER VALE LN",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748847",
            "telephone_number": "386-846-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 S YONGE ST",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321747501",
            "telephone_number": "772-453-8119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 N 12th Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342668752",
            "country_code": "US",
            "telephone_number": "863-494-1242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUSIKOS",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15095",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW15095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE NUMBER",
            "identifier": "SW15095",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna A Morrison, RPH
• Jillian Monica Morrison
• Bert Maurice Morrow, M.D.
• Wendy Ann Morton, ARNP
• Susan Mounteer, LMFT
• Movemed LLC
• Craig Allen Muchow, PT, DPT
• Mukul Garg MD PA
• Debra Mulcahy, LMHC
• Sarah Elizabeth Mundy-Russell, MSN, APRN, PMHNP-BC

• Mental Health Counselor in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.