Individual provider Active NPI

Andrea Sambuccetti, LMHC

  • Mental Health Counselor
  • Weston, FL
National Provider Identifier
1356176788
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH23537 Issued in FL
Practice address
2645 Executive Park Dr # 109
Weston, FL 33331-3624
Phone
(754) 269-5304
NPI assigned
Sep 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 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 MH23537 FL Primary

Addresses

Primary practice location

2645 Executive Park Dr # 109
Weston, FL 33331-3624

Mailing address

186 NW 164TH Ave
Pembroke Pines, FL 33028-1182
Phone (786) 362-4500

Other practice location 1

9350 Sunset Dr Ste 151
Miami, FL 33173-3286
Phone (786) 548-1022

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250122002335 FL Practitioner - Mental Health Counselor 3870022791 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dade Family Counseling Community Mental Health Center, Inc CurrentSince Jan 30, 2025 Accepting new patients
Thriveworks Clinical - Florida Inc Mental Health CurrentSince Dec 13, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Feb 28, 2025 Accepting new patients

Locations

2425 E Commercial Blvd
Ste 405
Fort Lauderdale, FL 33308
Phone (754) 400-5514

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

9350 Sunset Dr
Ste 151
Miami, FL 33173
Phone (786) 548-1022

1951 NW 17th Ave
Miami, FL 33125
Phone (305) 265-9220

4115 W Spruce St
Ste 205
Tampa, FL 33607
Phone (813) 413-4663

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1356176788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 NW 164TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281182",
            "telephone_number": "786-362-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 EXECUTIVE PARK DR # 109",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313624",
            "telephone_number": "754-269-5304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9350 Sunset Dr Ste 151",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331733286",
            "country_code": "US",
            "telephone_number": "786-548-1022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMBUCCETTI",
        "first_name": "ANDREA",
        "name_prefix": "Miss",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.