Mia Sanders

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10754 Issued in SC

Practice address

26 Wesmark CT
Sumter, SC 29150-1996

Phone

(803) 883-4981

NPI assigned

Dec 2, 2025

Sex

Unspecified or another gender identity

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

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1366304917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 DAIS RD",
            "city": "REMBERT",
            "state": "SC",
            "postal_code": "291289312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 WESMARK CT",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501996",
            "telephone_number": "803-883-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "MIA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "10754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel a Black, MD, LLC
• Brandolyn Janelle Samuel
• Chrishonda Samuel
• Carline Verona Samuels
• Ivan Thomas Sanders, LMSW
• Roslyn E. Sanders
• Sandhills Clinic of Chiropractic
• Sandhills Medical Foundation Inc (Sandhills Medical Pharmacy)
• Sandhills Medical Foundation, Inc (Sandhills Medical - West Liberty)
• Sandhills Medical Foundation, Inc.

• Mental Health Counselor in Sumter, SC
• Providers in Sumter, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.