Individual provider Active NPI

Dina Sagarese-Coleman, LMFT

  • Marriage & Family Therapist
  • West Palm Beach, FL
National Provider Identifier
1295363802
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT3807 Issued in FL
Practice address
1700 N Dixie Hwy
West Palm Beach, FL 33407-6504
Phone
(561) 713-6872
NPI assigned
Mar 30, 2020
Last updated
Mar 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT3807 FL Primary

Addresses

Primary practice location

1700 N Dixie Hwy
West Palm Beach, FL 33407-6504

Mailing address

7589 Courtyard Run W
Boca Raton, FL 33433-3002
Phone (954) 304-6508

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
MT3807FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Breathedsc LLC Marriage & Family Therapist Current Accepting new patients
Beachway Therapy Center LLC Past Accepting new patients

Locations

1700 N Dixie Hwy
West Palm Beach, FL 33407
Phone (561) 713-6872

Organizations & group practices 2

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1295363802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7589 COURTYARD RUN W",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333002",
            "telephone_number": "954-304-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N DIXIE HWY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076504",
            "telephone_number": "561-713-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGARESE-COLEMAN",
        "first_name": "DINA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.