Sandra Mitchell, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006996 Issued in NY

Practice address

613 Lake Dr
Medford, NY 11763-4610

Phone

(631) 256-7098

NPI assigned

Jan 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1669839940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 LAKE DR",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117634610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 LAKE DR",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117634610",
            "telephone_number": "631-256-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SANDRA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Ryann Mihalik, MA
• Mikails Angelic Xtra Intelligent Care Corp
• Susan F Miller, OTR
• Shawndel Minter
• Jessica Mistretta
• Rebecca Molino
• Kristen Moore
• Miezra J Moore, RN
• Rachel Ann Moore, PHARMD
• Mt Chiropractic, P.C.

• Mental Health Counselor in Medford, NY
• Providers in Medford, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.