Individual provider Active NPI

Sandra Robertson Muhammad, M.ED., CAGS, LMHC

  • Community/Behavioral Health Agency
  • Boston, MA
National Provider Identifier
1700355823
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
10186 Issued in MA
Practice address
1773 Dorchester Ave # Ma
Boston, MA 02124-2556
Phone
(617) 312-4476
Fax
(617) 297-5515
NPI assigned
Nov 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 10186 MA Primary

Addresses

Primary practice location

1773 Dorchester Ave # Ma
Boston, MA 02124-2556

Mailing address

1773 Dorchester Ave # Ma
Boston, MA 02124-2556
Phone (617) 312-4476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, DC2 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
I20250912001649 MA Practitioner - Mental Health Counselor 0648773804 Reassigns benefits to 1 organization
I20250916004835 DC Practitioner - Mental Health Counselor 0648773804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10186MAMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Community/Behavioral Health CurrentSince Aug 12, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

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": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1700355823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 DORCHESTER AVE # MA",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021242556",
            "telephone_number": "617-312-4476",
            "fax_number": "617-297-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1773 DORCHESTER AVE # MA",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021242556",
            "telephone_number": "617-312-4476",
            "fax_number": "617-297-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON MUHAMMAD",
        "first_name": "SANDRA",
        "credential": "M.ED., CAGS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "10186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.