Active NPI
Sandra Hack, MS, LPC, LMHC
- Mental Health Counselor
- Venice, FL
National Provider Identifier
1952465551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14247
- Practice address
- 224 Ponce de Leon Ave
Venice, FL 34285-2330 - Phone
- (941) 882-0566
- NPI assigned
- Dec 20, 2006
- Last updated
- Jun 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2983-125 | WI | |
| Mental Health Counselor | 101YM0800X | 14247 | FL | Primary |
Addresses
Primary practice location
224 Ponce de Leon Ave
Venice, FL 34285-2330
Mailing address
PO Box 374
Venice, FL 34284-0374
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2983-125 | WI | MD | Mental Health Counselor |
| 14247 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1952465551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 374",
"city": "VENICE",
"state": "FL",
"postal_code": "342840374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 PONCE DE LEON AVE",
"city": "VENICE",
"state": "FL",
"postal_code": "342852330",
"telephone_number": "941-882-0566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACK",
"first_name": "SANDRA",
"credential": "MS, LPC, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "2983-125",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "14247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.