Sauda Peck Harris, PH.D.(ABD), LMHC, QS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH11053 Issued in FL

Practice address

38 Essex CT
Unit D
Royal Palm Beach, FL 33411-8605

Phone

(561) 670-9638

NPI assigned

Jul 8, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

I-Bos Counseling Center, LLCGroup PAC ID 4587062864, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• I-Bos Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Cape Coral, FL
  • NPI 1851529150

  Mental Health

  Medicare reassignment Care Compare group NPD
• Clean & Sober Recovery Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • West Palm Beach, FL
  • NPI 1366933012
  NPD (past)

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1144517210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 ESSEX CT",
            "address_2": "UNIT D",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118605",
            "telephone_number": "561-670-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 ESSEX CT",
            "address_2": "UNIT D",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118605",
            "telephone_number": "561-670-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SAUDA",
        "middle_name": "PECK",
        "credential": "PH.D.(ABD), LMHC, QS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11053",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH11053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Haines, PTA
• Shaheda Haq
• Michelle Harold
• Lucda Harrigan
• Ashley Harris, DMD
• Naved Yousuf Hasan
• John Bowers Haslett, DC
• Health and Harmony
• Health Track Fitness and Wellness,LLC
• Eva Hechanova

• Mental Health Counselor in Royal Palm Beach, FL
• Providers in Royal Palm Beach, 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 May 10, 2017; 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.

Verify at the official NPI Registry.