Active NPI
Sandra L Fournier, MA LMFT
- Marriage & Family Therapist
- Debary, FL
National Provider Identifier
1619289444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT2460
- Practice address
- 75 Fox Ridge CT
Suite C
Debary, FL 32713-2701 - Phone
- (386) 846-6149
- NPI assigned
- Jul 9, 2010
- Last updated
- Jul 9, 2010
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT2460 | FL | Primary |
Addresses
Primary practice location
75 Fox Ridge CT
Suite C
Debary, FL 32713-2701
Mailing address
75 Fox Ridge CT
Suite C
Debary, FL 32713-2701
Phone (386) 846-6149
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT2460 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278633600000",
"number": "1619289444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 FOX RIDGE CT",
"address_2": "SUITE C",
"city": "DEBARY",
"state": "FL",
"postal_code": "327132701",
"telephone_number": "386-846-6149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FOX RIDGE CT",
"address_2": "SUITE C",
"city": "DEBARY",
"state": "FL",
"postal_code": "327132701",
"telephone_number": "386-846-6149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOURNIER",
"first_name": "SANDRA",
"middle_name": "L",
"credential": "MA LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-09",
"last_updated": "2010-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT2460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Debary, FL
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- Florida HH Services LLC (Alpha Bridge Home Health)
- Florida Injury Medical Centers
- Florida Physical Therapy Services of Orange City, LLC (Apex Health and Rehab)
- Frank Mari M D P a
- From the Hart of Orlando Inc. (Heart To Heart Counseling)
- Martha Eugenia Garcia, MD
- Alexander John Gargiso, DC
- Jennifer A Glaneman- Giagonelli, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.