Heather Bomar Stamm, LMHC, CATP, CCTP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH17781 Issued in FL

Practice address

5467 Ronald Reagan Blvd
Sanford, FL 32773-6332

Phone

(407) 476-6357

NPI assigned

Nov 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1831857523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7338 COLBURY AVE",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866318",
            "telephone_number": "407-476-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5467 RONALD REAGAN BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327736332",
            "telephone_number": "407-476-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMAR STAMM",
        "first_name": "HEATHER",
        "credential": "LMHC, CATP, CCTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stamm@kidshouse.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5467 Ronald Reagan Blvd",
            "city": "Sanford",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327736332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kyle Blake
• Stephan Blount, PHARM.D.
• Shikina Ninine Bodley, M.A. CCC SLP
• Kira Rio Boguslaw, LAC
• Lauren Elaine Bolander, MAT, LAT, ATC
• Wendy Rae Bordeaux, P.T.A.
• Janice Kay Bordon
• Heather Borgon, O.D.
• Margarita Borrero- Marien, M D
• Joy Irene Bouchardthompson, LMT

• Mental Health Counselor in Sanford, FL
• Providers in Sanford, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.