Active NPI
Sara Elysee, LMHC
- Mental Health Counselor
- Miami, FL
National Provider Identifier
1073828554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH11727
- Practice address
- 1031 Ives Dairy Rd Ste 228
Miami, FL 33179-2538 - Phone
- (954) 317-9161
- NPI assigned
- Aug 9, 2010
- 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 | MH11727 | FL | Primary |
Addresses
Primary practice location
1031 Ives Dairy Rd Ste 228
Miami, FL 33179-2538
Mailing address
1031 Ives Dairy Rd Ste 228
Miami, FL 33179-2538
Phone (954) 317-9161
Other practice location 1
7500 Fillmore St
Hollywood, FL 33024-7042
Phone (305) 215-2029
Other practice location 2
17801 NW 2nd Ave Ste 213
Miami Gardens, FL 33169-5029
Phone (954) 317-9161
Other names 1
- Ms. Sara Liberal
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 |
|---|---|---|---|
| MH11727 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soundmind Wellness Center, LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1073828554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 IVES DAIRY RD STE 228",
"city": "MIAMI",
"state": "FL",
"postal_code": "331792538",
"telephone_number": "954-317-9161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 IVES DAIRY RD STE 228",
"city": "MIAMI",
"state": "FL",
"postal_code": "331792538",
"telephone_number": "954-317-9161"
}
],
"practiceLocations": [
{
"address_1": "7500 Fillmore St",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330247042",
"country_code": "US",
"telephone_number": "305-215-2029",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17801 NW 2nd Ave Ste 213",
"address_purpose": "LOCATION",
"city": "Miami Gardens",
"state": "FL",
"postal_code": "331695029",
"country_code": "US",
"telephone_number": "954-317-9161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELYSEE",
"first_name": "SARA",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-09",
"last_updated": "2021-04-27",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH11727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "LIBERAL",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.