Individual provider Active NPI

Cassandra Deanna Sams, LPC, LMHC

  • Mental Health Counselor
  • Lake Mary, FL
National Provider Identifier
1497189484
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8571 Issued in FL
Practice address
3599 W Lake Mary Blvd
Suite B
Lake Mary, FL 32746-3417
Phone
(407) 443-3371
NPI assigned
Aug 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH8571 FL Primary
Professional Counselor 101YP2500X LPC004158 GA

Addresses

Primary practice location

3599 W Lake Mary Blvd
Suite B
Lake Mary, FL 32746-3417

Mailing address

2008 Courtyard Loop Apt 204
Sanford, FL 32771-7444
Phone (407) 322-8064

Other names 1

  • Miss Cassandra Deanna Craig Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH8571FLMDMental Health Counselor
LPC004158GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Stories in the Sand Counseling and Therapy Mental Health Past Accepting new patients

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": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1497189484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 COURTYARD LOOP APT 204",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327717444",
            "telephone_number": "407-322-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 W LAKE MARY BLVD",
            "address_2": "SUITE B",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463417",
            "telephone_number": "407-443-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMS",
        "first_name": "CASSANDRA",
        "middle_name": "DEANNA",
        "name_prefix": "Ms.",
        "credential": "LPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8571",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004158",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "CRAIG",
            "middle_name": "DEANNA",
            "prefix": "MISS",
            "credential": "LPC, LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.