Individual provider Active NPI

Sandra Sorrentino, LMHC

  • Mental Health Counselor
  • Weston, FL
National Provider Identifier
1689269516
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH18941 Issued in FL
Practice address
2741 Executive Park Dr
Weston, FL 33331-3641
Phone
(954) 779-8081
NPI assigned
Mar 3, 2021
Last updated
Mar 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH18941 FL Primary

Addresses

Primary practice location

2741 Executive Park Dr
Weston, FL 33331-3641

Mailing address

2524 Bay Pointe CT
Weston, FL 33327-1422
Phone (954) 536-7959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241118001665 FL Practitioner - Mental Health Counselor 2769916436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpsych Consultants, P.a.Group PAC ID 6608991443, 7 clinicians

Practice addresses (Care Compare)

2741 Executive Park Dr
Suite 1
Weston, FL 33331-3641
Phone 9543856750204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inpsych Consultants, P.a. CurrentSince Oct 15, 2024 Accepting new patients
Dr. Michelle Channing PA PastSince May 1, 2006 Accepting new patients

Locations

2741 Executive Park Dr
Ste 1
Weston, FL 33331
Phone (954) 385-6750

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1689269516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 BAY POINTE CT",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333271422",
            "telephone_number": "954-536-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 EXECUTIVE PARK DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313641",
            "telephone_number": "954-779-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRENTINO",
        "first_name": "SANDRA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.