Individual provider Active NPI

Sandra Pulos, MA

  • Mental Health Counselor
  • Sarasota, FL
National Provider Identifier
1376204164
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3224 Bee Ridge Rd
Sarasota, FL 34239-7201
Phone
(941) 926-2959
NPI assigned
Jan 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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 Primary

Addresses

Primary practice location

3224 Bee Ridge Rd
Sarasota, FL 34239-7201

Mailing address

16907 1St Ave E
Bradenton, FL 34212-5606
Phone (414) 916-9122

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
I20240709000715 FL Practitioner - Mental Health Counselor 5991240566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Samaritan Counseling Services of the Gulf Coast IncGroup PAC ID 1456314343, 13 clinicians

Practice addresses (Care Compare)

3224 Bee Ridge Rd
Sarasota, FL 34239-7201
Phone (941) 926-2959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Counseling Services of the Gulf Coast Inc Mental Health CurrentSince Jun 1, 2024 Accepting new patients

Locations

14305 Covenant Way
Lakewood Ranch, FL 34202

3224 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 284-8964

Organizations & group practices 1

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": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1376204164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16907 1ST AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342125606",
            "telephone_number": "414-916-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342397201",
            "telephone_number": "941-926-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULOS",
        "first_name": "SANDRA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.