Active NPI
Deirdra Eileen Sanders-Burnett, LMHC
- Mental Health Counselor
- Winter Haven, FL
National Provider Identifier
1568024578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH8069
- Practice address
- 1106 Meadow Lark LN
Winter Haven, FL 33884-2543 - Phone
- (863) 224-3225
- Fax
- (863) 324-3293
- NPI assigned
- Jul 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH8069 | FL | Primary |
Addresses
Primary practice location
1106 Meadow Lark LN
Winter Haven, FL 33884-2543
Mailing address
PO Box 1536
Winter Haven, FL 33882-1536
Phone (863) 224-3225
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH8069 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1568024578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1536",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338821536",
"telephone_number": "863-224-3225",
"fax_number": "863-324-3293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 MEADOW LARK LN",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338842543",
"telephone_number": "863-224-3225",
"fax_number": "863-324-3293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS-BURNETT",
"first_name": "DEIRDRA",
"middle_name": "EILEEN",
"name_prefix": "Dr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-01",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH8069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.