Individual provider Active NPI

Mark Sector Sears, LMHC

  • Mental Health Counselor
  • Winter Springs, FL
National Provider Identifier
1568881126
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH12486 Issued in FL
Practice address
725 Wilson Rd
Winter Springs, FL 32708-3810
Phone
(407) 721-0945
NPI assigned
Apr 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MH12486 FL
Mental Health Counselor 101YM0800X MH12486 FL Primary

Addresses

Primary practice location

725 Wilson Rd
Winter Springs, FL 32708-3810

Mailing address

725 Wilson Rd
Winter Springs, FL 32708-3810
Phone (407) 721-0945

Other practice location 1

471 Spencer Dr
West Palm Beach, FL 33409-3675
Phone (561) 444-3512

Other practice location 2

15600 SW 288th St Ste 108
Homestead, FL 33033-1200
Phone (561) 444-3512

Other practice location 3

7350 Sand Lake Cmn Ste 2205
Orlando, FL 32819-8031
Phone (561) 444-3512

Other practice location 4

7000 SW 62nd Ave Ste Ph-S
South Miami, FL 33143-4716
Phone (561) 444-3512

Other identifiers 1

IdentifierTypeStateIssuer
120756400MedicaidFL

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
MH12486FLMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Integrative Care of FL, LLC PastSince Dec 6, 2022 Accepting new patients
NR Florida Associates LLC Past Accepting new patients

Organizations & group practices 2

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": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1568881126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 WILSON RD",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327083810",
            "telephone_number": "407-721-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 WILSON RD",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327083810",
            "telephone_number": "407-721-0945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "471 Spencer Dr",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334093675",
            "country_code": "US",
            "telephone_number": "561-444-3512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15600 SW 288th St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330331200",
            "country_code": "US",
            "telephone_number": "561-444-3512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7350 Sand Lake Cmn Ste 2205",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328198031",
            "country_code": "US",
            "telephone_number": "561-444-3512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7000 SW 62nd Ave Ste Ph-S",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331434716",
            "country_code": "US",
            "telephone_number": "561-444-3512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEARS",
        "first_name": "MARK",
        "middle_name": "SECTOR",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH12486",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120756400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.