Active NPI
Sara Marie Deese, MCAP,LMHC, LPC, LPCC
- Mental Health Counselor
- New Port Richey, FL
National Provider Identifier
1376152702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH18260
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-22739 | AZ | MD | Counselor |
| 46.006796 | CT | MD | Mental Health Counselor |
| MH18260 | FL | MD | Mental Health Counselor |
| 2023032955 | MO | MD | Mental Health Counselor |
| 19441 | NC | MD | Mental Health Counselor |
| 01595 | RI | MD | Mental Health Counselor |
| 13595772-6004 | UT | MD | Mental Health Counselor |
| 0701012926 | VA | MD | Mental Health Counselor |
| 10495-125 | WI | MD | Professional Counselor |
| 9119 | SC | MD | Orthopedic Physical Therapist |
| 6779 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sara Deese, LLC Dba Serenity Oaks Counseling | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Port Richey, FL
- NPI 1912754441
-
- Community/Behavioral Health Agency
- Tampa, FL
- NPI 1346224011
-
- Federally Qualified Health Center (FQHC)
- Tampa, FL
- NPI 1932759149
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.