Sandra A. Mizerak, LMHC,NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000224-1 Issued in NY

Practice address

610 French Rd
New Hartford, NY 13413-1054

Phone

(315) 404-1634

NPI assigned

Jul 7, 2016

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": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1295187771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 OTSEGO ST",
            "city": "ILION",
            "state": "NY",
            "postal_code": "133572529",
            "telephone_number": "315-404-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 FRENCH RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131054",
            "telephone_number": "315-404-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZERAK",
        "first_name": "SANDRA",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "LMHC,NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000224-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne L Millson, NP
• Mind Matters Therapy Services LCSW PLLC
• Gavriella Mintz, PSY.D., MSED.
• Aamer Mirza, M.D.
• Anna Maria Mirza, CCC-SLP
• Maria Christine Mody-Jones, D.C.
• Charles Richard Moeller, PH.D.
• Karen Moffett, OTR
• Nadia Saad Mohamed, DPT
• Mohawk Valley Counseling Associatess

• Mental Health Counselor in New Hartford, NY
• Providers in New Hartford, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.