Individual provider Active NPI

Sasha Salva

  • Mental Health Counselor
  • Sweetwater, FL
National Provider Identifier
1083140826
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH15773 Issued in FL
Practice address
1414 NW 107TH Ave
Suite 109
Sweetwater, FL 33172-2732
Phone
(786) 762-2952
Fax
(786) 762-2953
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH15773 FL Primary

Addresses

Primary practice location

1414 NW 107TH Ave
Suite 109
Sweetwater, FL 33172-2732

Mailing address

1414 NW 107TH Ave
Suite 109
Sweetwater, FL 33172-2732
Phone (786) 762-2952

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
IMH15773FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1083140826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 NW 107TH AVE",
            "address_2": "SUITE 109",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722732",
            "telephone_number": "786-762-2952",
            "fax_number": "786-762-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 NW 107TH AVE",
            "address_2": "SUITE 109",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722732",
            "telephone_number": "786-762-2952",
            "fax_number": "786-762-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVA",
        "first_name": "SASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH15773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.