Active NPI
Lanshel, Inc.
Doing business as Amethyst Agency of Broward
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lauderdale Lakes, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- LANSHEL, INC.
- Doing business as
- Amethyst Agency of Broward
- Practice address
- 4850 W Oakland Park Blvd Ste 145
Lauderdale Lakes, FL 33313-7277 - Phone
- (954) 933-3407
- Fax
- (754) 205-4528
- NPI assigned
- Jan 16, 2018
- Last updated
- Dec 18, 2023
- Organization subpart
- Yes
- Parent organization
- LANSHEL INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sandra K Lange, PSY.D.
- Title
- Ceo/ President
- Phone
- (954) 401-5675
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
4850 W Oakland Park Blvd Ste 145
Lauderdale Lakes, FL 33313-7277
Mailing address
4850 W Oakland Park Blvd Ste 145
Lauderdale Lakes, FL 33313-7277
Phone (954) 933-3407
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336597590 | Medicaid | FL | |
| 107203000 | Medicaid | FL |
Other names 1
- Amethyst Agency of Broward
National Provider Directory
National Provider Directory- Part of
- Lanshel Inc
Locations
4850 W Oakland Park Blvd
Ste 145
Lauderdale Lakes, FL 33313
Phone (954) 739-0978
555 SW 12th Ave
Ste 107
Pompano Beach, FL 33069
Phone (954) 933-3407
Networks
- Freedom Health HMO Network
- HealthSun Health Plans Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Counselor
- Hollywood, FL
- NPI 1336597590
-
- Counselor
- Pompano Beach, FL
- NPI 1376120261
-
- Mental Health Counselor
- Miami, FL
- NPI 1871823567
-
- Mental Health Counselor
- West Palm Beach, FL
- NPI 1912542408
-
- Professional Counselor
- Pompano Beach, FL
- NPI 1588219513
-
- Mental Health Counselor
- Pompano Beach, FL
- NPI 1376121905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702857600000",
"number": "1396253027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 W OAKLAND PARK BLVD STE 145",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333137277",
"telephone_number": "954-933-3407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 W OAKLAND PARK BLVD STE 145",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333137277",
"telephone_number": "954-933-3407",
"fax_number": "754-205-4528"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANSHEL, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LANSHEL INC.",
"enumeration_date": "2018-01-16",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A",
"authorized_official_last_name": "LANGE",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CEO/ PRESIDENT",
"authorized_official_telephone_number": "954-401-5675",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1336597590",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107203000",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Amethyst Agency of Broward",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.