Individual provider Active NPI

Sanaa E Mylan, LCPC, LMHC, MS

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1568845964
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008090 Issued in NY
Practice address
590 6TH Ave
New York, NY 10011-2022
Phone
(646) 874-4886
NPI assigned
Jul 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC9949 MD
Mental Health Counselor 101YM0800X 008090 NY Primary

Addresses

Primary practice location

590 6TH Ave
New York, NY 10011-2022

Mailing address

13614 Tree Leaf CT
Upper Marlboro, MD 20774-4205
Phone (718) 805-4719

Other practice location 1

3300 Northern Blvd Fl 5
Long Island City, NY 11101-2215
Phone (646) 874-4886

Other practice location 2

1208 E Churchville Rd Ste 300
Bel Air, MD 21014-3485
Phone (410) 893-4600

Other names 1

  • Sana Awan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240306000093 DC Practitioner - Mental Health Counselor 7113363714 Reassigns benefits to 1 organization
I20240522003172 MD Practitioner - Mental Health Counselor 7113363714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Safe Harbor Behavioral Care LLCGroup PAC ID 0345514675, 81 clinicians

Practice addresses (Care Compare)

3060 Mitchellville Rd
Suite 106B
Bowie, MD 20716-3966
Phone (410) 893-4600

77 E Main St
Suite 302
Westminster, MD 21157-5055
Phone (410) 893-4600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LC9949MDMDProfessional Counselor
008090NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Behavioral Care, LLC Mental Health CurrentSince Feb 3, 2024 Accepting new patients

Locations

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

3060 Mitchellville Rd
Ste 106B
Bowie, MD 20716
Phone (410) 838-9500

14456 Old Mill Rd
Ste 101
Upper Marlboro, MD 20772

77 E Main St
Ste 302
Westminster, MD 21157

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": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1568845964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13614 TREE LEAF CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207744205",
            "telephone_number": "718-805-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 6TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112022",
            "telephone_number": "646-874-4886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Northern Blvd Fl 5",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "111012215",
            "country_code": "US",
            "telephone_number": "646-874-4886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1208 E Churchville Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210143485",
            "country_code": "US",
            "telephone_number": "410-893-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYLAN",
        "first_name": "SANAA",
        "middle_name": "E",
        "credential": "LCPC, LMHC, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC9949",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANA",
            "last_name": "AWAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.