Sara C Nixon, RMHCI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

21785 Issued in FL

Practice address

50 Lake Morton Dr
Lakeland, FL 33801-5343

Phone

(863) 288-0821

NPI assigned

Jun 21, 2024

Last updated

Jun 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1164266490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 HIGHLAND AVE APT 202",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033933",
            "telephone_number": "317-361-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LAKE MORTON DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015343",
            "telephone_number": "863-288-0821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "731 Brookhaven Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328032508",
            "country_code": "US",
            "telephone_number": "407-853-2847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIXON",
        "first_name": "SARA",
        "middle_name": "C",
        "credential": "RMHCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "21785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Albert Ninke, MD
• Daryl Victor Nisbett, M.D.
• Nite Owl Pediatrics, Inc.
• Amy Lynn Nixon, PHARM.D.
• Jennifer M Nixon, MD
• Linda Diane Nixson, OTR/L
• Bethany Joy Nkosi, ATC, ATL
• No Limits... Learning Through Experience, Inc.
• David Jamal Noble, PHARMD
• Kawveh Nofallah, DMD

• Mental Health Counselor in Lakeland, FL
• Providers in Lakeland, 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 Jun 21, 2024; 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.