Active NPI
Faith Sanders, LMHC
- Mental Health Counselor
- Port Saint Lucie, FL
National Provider Identifier
1053958827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH17516
- Practice address
- 1066 SW Dartmouth Ave
Port Saint Lucie, FL 34953-8516 - Phone
- (407) 476-8014
- NPI assigned
- Nov 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH17516 | FL | Primary |
Addresses
Primary practice location
1066 SW Dartmouth Ave
Port Saint Lucie, FL 34953-8516
Mailing address
1066 SW Dartmouth Ave
Port Saint Lucie, FL 34953-8516
Phone (716) 803-2520
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH17516 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574985600000",
"number": "1053958827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1066 SW DARTMOUTH AVE",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349538516",
"telephone_number": "716-803-2520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1066 SW DARTMOUTH AVE",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349538516",
"telephone_number": "407-476-8014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "FAITH",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-29",
"last_updated": "2019-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH17516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.