Active NPI
Andrea Sambuccetti, LMHC
- Mental Health Counselor
- Weston, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH23537
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dade Family Counseling Community Mental Health Center, Inc | Current | Accepting new patients | |
| Thriveworks Clinical - Florida Inc | Mental Health | Current | Accepting new patients |
| Grow Healthcare Group PA | Mental Health | Current | 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.
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1427055417
-
- Mental Health Counselor
- Fort Lauderdale, FL
- NPI 1396360996
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.