Active NPI
Sara Marie Letizia, M.S.ED, RMHCI
- Mental Health Counselor
- Fort Lauderdale, FL
National Provider Identifier
1740816776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH19335
- Practice address
- 2901 W Cypress Creek Rd Ste 123
Fort Lauderdale, FL 33309-1732 - Phone
- (954) 915-7444
- NPI assigned
- Mar 22, 2020
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH19335 | FL | Primary |
Addresses
Primary practice location
2901 W Cypress Creek Rd Ste 123
Fort Lauderdale, FL 33309-1732
Mailing address
1110 S Military TRL Apt 1-305
Deerfield Beach, FL 33442-7606
Phone (914) 268-1616
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | KIPU |
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMH19335 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLC Recovery Center of South Florida | Current | Accepting new patients | |
| TLC Recovery Center of S Florida, LLC | Past | Accepting new patients |
Locations
2901 W Cypress Creek Rd
Ste 123
Ft Lauderdale, FL 33309
Phone 9549157444 ext. 525
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.
-
- Pharmacy
- Fort Lauderdale, FL
- NPI 1770027187
-
- Substance Abuse Rehabilitation Facility
- Fort Lauderdale, FL
- NPI 1750718714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584835200000",
"number": "1740816776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 S MILITARY TRL APT 1-305",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334427606",
"telephone_number": "914-268-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 W CYPRESS CREEK RD STE 123",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333091732",
"telephone_number": "954-915-7444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LETIZIA",
"first_name": "SARA",
"middle_name": "MARIE",
"credential": "M.S.ED, RMHCI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-22",
"last_updated": "2020-03-22",
"certification_date": "2020-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH19335",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "KIPU",
"affiliation": "N",
"address_1": "2901 W Cypress Creek Rd Ste 123",
"city": "Fort Lauderdale",
"state": "FL",
"country_code": "US",
"postal_code": "333091732",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.