Individual provider Active NPI

Sara Marie Letizia, M.S.ED, RMHCI

  • Mental Health Counselor
  • Fort Lauderdale, FL
National Provider Identifier
1740816776
Registry record updated Mar 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH19335 Issued in FL
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

Updated by the provider on Mar 22, 2020

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 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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
IMH19335FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Recovery Center of South Florida CurrentSince May 16, 2021 Accepting new patients
TLC Recovery Center of S Florida, LLC PastSince Mar 29, 2020 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.

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.

Verify at the official NPI Registry.