Individual provider Active NPI

Sara Stevia Pena, LMHC, CAP

  • Mental Health Counselor
  • Coconut Creek, FL
National Provider Identifier
1194343962
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11206 Issued in FL
Practice address
6810 Lyons Technology Cir Ste 170
Coconut Creek, FL 33073-4322
Phone
(954) 951-5989
NPI assigned
Jul 8, 2020
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 MH11206 FL Primary

Addresses

Primary practice location

6810 Lyons Technology Cir Ste 170
Coconut Creek, FL 33073-4322

Mailing address

15841 Cobblestone CT
Davie, FL 33331-2538
Phone (727) 385-7565

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
MH11206FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Stevie Mental Health CurrentSince Feb 23, 2025 Accepting new patients

Locations

6810 Lyons Technology Cir
Ste 170
Coconut Creek, FL 33073
Phone (549) 515-9899

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1194343962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15841 COBBLESTONE CT",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333312538",
            "telephone_number": "727-385-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 LYONS TECHNOLOGY CIR STE 170",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734322",
            "telephone_number": "954-951-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "SARA",
        "middle_name": "STEVIA",
        "credential": "LMHC, CAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.