Active NPI
Stephanie J Sammons, MA, RMHCI
- Counselor
- Port St Lucie, FL
National Provider Identifier
1114696804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1680 SE Lyngate Dr Ste 204
Port St Lucie, FL 34952-4300 - Phone
- (772) 226-0383
- Fax
- (772) 237-5496
- NPI assigned
- Sep 7, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MH20627 | FL | |
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1680 SE Lyngate Dr Ste 204
Port St Lucie, FL 34952-4300
Mailing address
9309 Windrift Cir
Fort Pierce, FL 34945-3303
Phone (954) 642-6224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6666 S US Hwy 1
Suite 1
Port Saint Lucie, FL 34952-1439
Phone (772) 226-0383
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
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.
-
- Mental Health Counselor
- Port Saint Lucie, FL
- NPI 1205617941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1114696804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9309 WINDRIFT CIR",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349453303",
"telephone_number": "954-642-6224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 SE LYNGATE DR STE 204",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349524300",
"telephone_number": "772-226-0383",
"fax_number": "772-237-5496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMMONS",
"first_name": "STEPHANIE",
"middle_name": "J",
"credential": "MA, RMHCI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-07",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "MH20627",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.