Individual provider Active NPI

Samuel Lima, MA, LMHC, NCC

  • Mental Health Counselor
  • Safety Harbor, FL
National Provider Identifier
1417358243
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH14544 Issued in FL
Practice address
550 7TH St S
Safety Harbor, FL 34695-4227
Phone
(727) 871-0327
NPI assigned
Sep 11, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2017

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 MH14544 FL Primary

Addresses

Primary practice location

550 7TH St S
Safety Harbor, FL 34695-4227

Mailing address

550 7TH St S
Safety Harbor, FL 34695-4227
Phone (727) 871-0327

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
I20240207001340 FL Practitioner - Mental Health Counselor 1355784380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Praxis Wellness LLCGroup PAC ID 0446693477, 3 clinicians

Practice addresses (Care Compare)

935 Main St
Suite B2
Safety Harbor, FL 34695-3471
Phone (727) 314-2130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MH14544FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Praxis Wellness LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

935 Main St
Ste B2
Safety Harbor, FL 34695
Phone (607) 267-3885

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": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1417358243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 7TH ST S",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346954227",
            "telephone_number": "727-871-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 7TH ST S",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346954227",
            "telephone_number": "727-871-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMA",
        "first_name": "SAMUEL",
        "credential": "MA, LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-11",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.