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MR. PEDRO DONOSSO SAM LMHC
NPI 1467762245
Counselor - Mental Health in Miami, FL

Active since October 14, 2010PECOS Enrolled
11440 N KENDALL DR STE 208, MIAMI, FL 33176(305) 279-5535(305) 279-2742 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 17, 2020, Aug 8, 2019 (2 updates tracked since 2019).

About Mr. Pedro Donosso Sam Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PEDRO DONOSSO SAM LMHC (NPI 1467762245) is an individual mental health provider in Miami, Florida, licensed in Florida (MH9658) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Lauderdale.

NPPES Registry Identity

NPI1467762245
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. PEDRO DONOSSO SAMCredential: LMHC
Location Address11440 N KENDALL DR STE 208Miami, FL 33176-1024
Mailing Address1065 Ne 125th St Ste 409North Miami, FL 33161-5834 · (305) 891-0050 · Fax (305) 891-4228
Phone(305) 279-5535
Fax(305) 279-2742
Sole ProprietorNo
Enumeration DateOctober 14, 2010
Last NPPES UpdateJune 17, 20202 updates tracked since enumeration
NPPES CertifiedJune 17, 2020
✔ NPI 1467762245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH9658
11440 N KENDALL DR STE 208, Miami, FL 33176
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Secondary Practice Location 1

Location 12425 E Commercial Blvd Ste 405Fort Lauderdale, FL 33308-4029 · Phone (754) 400-5514

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Pedro Donosso Sam Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CALLISIA HEALTH GROUP INC
Psychiatry & Neurology (Psychiatry)
11440 N KENDALL DR STE 208
MIAMI, FL 33176
Miami-Dade County (305) 898-0849
ADRIANA LISA GONZALEZ ARNP
Nurse Practitioner (Psychiatric/Mental Health)
11440 N KENDALL DR STE 208
MIAMI, FL 33176
Miami-Dade County (305) 898-0849
MEDELLA MEDICAL CENTER
Clinic/Center (Primary Care)
11440 N KENDALL DR STE 208
MIAMI, FL 33176
Miami-Dade County (786) 498-7499

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pedro Sam's NPI number?

The NPI number for Pedro Sam is 1467762245. It was assigned to this individual provider in the NPPES registry on October 14, 2010.

Where is Pedro Sam located?

Pedro Sam practices at 11440 N Kendall Dr Ste 208, Miami, FL 33176. The listed phone number is (305) 279-5535.

What is Pedro Sam's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Pedro Sam enrolled in Medicare?

Yes. Pedro Sam is registered in the Medicare PECOS enrollment system.

What insurance does Pedro Sam accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare list Pedro Sam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pedro Sam was last updated on June 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.