Active NPI
Samantha Sandor, LMHC
- Mental Health Counselor
- Tamarac, FL
National Provider Identifier
1841013166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH24595
- Practice address
- 8301 W McNab Rd
Tamarac, FL 33321-3206 - Phone
- (954) 771-2091
- Fax
- (877) 466-8513
- NPI assigned
- Nov 5, 2024
- 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 | MH24595 | FL | Primary |
Addresses
Primary practice location
8301 W McNab Rd
Tamarac, FL 33321-3206
Mailing address
8301 W McNab Rd
Tamarac, FL 33321-3206
Phone (954) 771-2091
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 |
|---|---|---|---|
| MH24595 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1841013166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8301 W MCNAB RD",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333213206",
"telephone_number": "954-771-2091",
"fax_number": "877-466-8513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8301 W MCNAB RD",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333213206",
"telephone_number": "954-771-2091",
"fax_number": "877-466-8513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOR",
"first_name": "SAMANTHA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-05",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH24595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.