Individual provider Active NPI

Sara Marie Deese, MCAP,LMHC, LPC, LPCC

  • Mental Health Counselor
  • New Port Richey, FL
National Provider Identifier
1376152702
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH18260 Issued in FL
Practice address
5411 Grand Blvd Ste 109
New Port Richey, FL 34652-4010
Phone
(727) 304-3842
Fax
(727) 291-7623
NPI assigned
Jul 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6779 TN
Mental Health Counselor 101YM0800X 19441 NC
Mental Health Counselor 101YM0800X 0701012926 VA
Mental Health Counselor 101YM0800X 13595772-6004 UT
Mental Health Counselor 101YM0800X 46.006796 CT
Mental Health Counselor 101YM0800X 01595 RI
Mental Health Counselor 101YM0800X 9119 SC
Mental Health Counselor 101YM0800X 4007 MN
Mental Health Counselor 101YM0800X 2023032955 MO
Professional Counselor 101YP2500X 10495-125 WI
Mental Health Counselor 101YM0800X MH18260 FL Primary
Counselor 101Y00000X LPC-22739 AZ

Addresses

Primary practice location

5411 Grand Blvd Ste 109
New Port Richey, FL 34652-4010

Mailing address

7316 Otter Creek Dr
New Port Richey, FL 34655-4000
Phone (727) 410-9281

Other practice location 1

7316 Otter Creek Dr
New Port Richey, FL 34655-4000
Phone (727) 304-3842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 2, 2024 through Aug 2, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-22739AZMDCounselor
46.006796CTMDMental Health Counselor
MH18260FLMDMental Health Counselor
2023032955MOMDMental Health Counselor
19441NCMDMental Health Counselor
01595RIMDMental Health Counselor
13595772-6004UTMDMental Health Counselor
0701012926VAMDMental Health Counselor
10495-125WIMDProfessional Counselor
9119SCMDOrthopedic Physical Therapist
6779TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sara Deese, LLC Dba Serenity Oaks Counseling CurrentSince May 7, 2024 Accepting new patients
Ibis Healthcare Inc Past Accepting new patients
Ibis Healthcare Inc Past Accepting new patients

Locations

5411 Grand Blvd
Ste 109
New Prt Rchy, FL 34652
Phone (727) 842-3445

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": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1376152702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7316 OTTER CREEK DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346554000",
            "telephone_number": "727-410-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 GRAND BLVD STE 109",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524010",
            "telephone_number": "727-304-3842",
            "fax_number": "727-291-7623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7316 Otter Creek Dr",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346554000",
            "country_code": "US",
            "telephone_number": "727-304-3842",
            "fax_number": "727-291-7623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEESE",
        "first_name": "SARA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MCAP,LMHC, LPC, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "6779",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "19441",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701012926",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "13595772-6004",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "46.006796",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "01595",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "9119",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "4007",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2023032955",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10495-125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18260",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-22739",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.