Individual provider Active NPI

Samantha Hacker

  • Mental Health Counselor
  • Fort Lauderdale, FL
National Provider Identifier
1427745058
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
25776 Issued in FL
Practice address
805 E Broward Blvd Ste 301
Fort Lauderdale, FL 33301-2046
Phone
(754) 229-0730
NPI assigned
Apr 24, 2023
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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 25776 FL Primary

Addresses

Primary practice location

805 E Broward Blvd Ste 301
Fort Lauderdale, FL 33301-2046

Mailing address

510 NW 84TH Ave Apt 442
Plantation, FL 33324-1874
Phone (954) 240-6450

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
I20250611000129 FL Practitioner - Mental Health Counselor 3072023886 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25776FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Psychotherapy Associates LLC Mental Health Current Accepting new patients
Seasons Psychotherapy Associates LLC Mental Health CurrentSince Jun 6, 2025 Accepting new patients
Seasons Psychotherapy Associates LLC Mental Health Past Accepting new patients

Locations

10139 NW 31st St
Ste 102
Coral Springs, FL 33065
Phone (954) 342-0982

12505 Orange Dr
Ste 901
Davie, FL 33330
Phone (954) 342-0982

2601 E Oakland Park Blvd
Ste 205
Ft Lauderdale, FL 33306
Phone (954) 342-0982

3750 Gunn Hwy
Ste 101
Tampa, FL 33618
Phone (813) 592-8600

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1427745058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 NW 84TH AVE APT 442",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241874",
            "telephone_number": "954-240-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E BROWARD BLVD STE 301",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012046",
            "telephone_number": "754-229-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKER",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "25776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.