Dale Sagotsky, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

19837 Issued in FL

Practice address

600 N Thacker Ave Ste D44
Kissimmee, FL 34741-4893

Phone

(407) 232-0402

NPI assigned

Oct 23, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1634947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634947200000",
    "number": "1114681483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N THACKER AVE STE D44",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414893",
            "telephone_number": "407-232-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N THACKER AVE STE D44",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414893",
            "telephone_number": "407-232-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGOTSKY",
        "first_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-23",
        "last_updated": "2021-10-23",
        "certification_date": "2021-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "19837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Www.reflectionscounselingllc.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "600 N Thacker Ave Ste D44",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347414893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Safeway Transportation System, LLC
• Nathaly S Sagastume-Diaz, COTA
• Sage Dental of Poinciana, PLLC
• Sage Dental of the Loop PLLC
• Henriette Saget Normil, AP
• Asis Kumar Saha, MD PA
• Shady Saikali, MD
• Sathvik Saineni, MD
• Marie M Saint Fleur
• James Christopher Sainvil

• Mental Health Counselor in Kissimmee, FL
• Providers in Kissimmee, 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 Oct 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.