Individual provider Active NPI

David M. Sloan, LMHC

  • Addiction (Substance Use Disorder) Counselor
  • Hobe Sound, FL
National Provider Identifier
1053626804
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
IMH7474 Issued in FL
Practice address
11900 SE Federal Hwy
Suite 212
Hobe Sound, FL 33455-5320
Phone
(772) 546-3455
Fax
(772) 546-3597
NPI assigned
Aug 17, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X IMH7474 FL Primary

Addresses

Primary practice location

11900 SE Federal Hwy
Suite 212
Hobe Sound, FL 33455-5320

Mailing address

4905 Lantana Rd
Lake Worth, FL 33463-6915
Phone (866) 259-0067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMH7474FLMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1053626804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 LANTANA RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636915",
            "telephone_number": "866-259-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 SE FEDERAL HWY",
            "address_2": "SUITE 212",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334555320",
            "telephone_number": "772-546-3455",
            "fax_number": "772-546-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "DAVID",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-17",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "IMH7474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobe Sound, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.