Active NPI
Sandra Italiano, MA, LPC
- Counselor
- Miami Lakes, FL
National Provider Identifier
1972052314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2015016672
- Practice address
- 8302 Commerce Way Apt 217
Miami Lakes, FL 33016-1604 - Phone
- (202) 285-3881
- NPI assigned
- Sep 27, 2016
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2015016672 | MO | Primary |
Addresses
Primary practice location
8302 Commerce Way Apt 217
Miami Lakes, FL 33016-1604
Mailing address
8302 Commerce Way Apt 217
Miami Lakes, FL 33016-1604
Phone (202) 285-3881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MO, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015016672 | MO | MD | Counselor |
| 11311 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
4625 Lindell Blvd
Ste 200
Saint Louis, MO 63108
Phone (314) 833-8765
170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304
Organizations & group practices 1
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": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706313600000",
"number": "1972052314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8302 COMMERCE WAY APT 217",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330161604",
"telephone_number": "202-285-3881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8302 COMMERCE WAY APT 217",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330161604",
"telephone_number": "202-285-3881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ITALIANO",
"first_name": "SANDRA",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-27",
"last_updated": "2024-01-27",
"certification_date": "2024-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2015016672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.