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SIERRA LIFE COACHING
NPI 1689302390
Social Worker - Clinical in Port St Lucie, FL

Active since August 10, 2022
122 SW CRESCENT AVE, PORT ST LUCIE, FL 34984(561) 373-0880 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 7, 2022, Aug 10, 2022 (2 updates tracked since 2022).

About Sierra Life Coaching NPPES

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

SIERRA LIFE COACHING (NPI 1689302390) is a healthcare organization registered as a clinical in Port St Lucie, Florida and active in the NPI registry since August 2022. The organization lists Susana Lopez-sierra, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1689302390
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSIERRA LIFE COACHING
Location Address122 SW CRESCENT AVEPort St Lucie, FL 34984-4327
Mailing Address122 Sw Crescent AvePort St Lucie, FL 34984-4327 · (561) 373-0880
Phone(561) 373-0880
Organization SubpartNo
Authorized OfficialSusana Lopez-sierraOwner/president · (561) 373-0880
Enumeration DateAugust 10, 2022
Last NPPES UpdateSeptember 7, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2022
✔ NPI 1689302390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
122 SW CRESCENT AVE, Port St Lucie, FL 34984
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sierra Life Coaching is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sierra Life Coaching, which bills Medicare for the services this clinician delivers.

Clinician (1)

Susana Lopez Sierra, MSW
Clinical Social Worker
NPI 1790024289
122 SW CRESCENT AVE
Port Saint Lucie, FL 34984
(561) 373-0880
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sierra Life Coaching's NPI number?

The NPI number for Sierra Life Coaching is 1689302390. It was assigned to this organization in the NPPES registry on August 10, 2022.

Where is Sierra Life Coaching located?

Sierra Life Coaching is located at 122 SW Crescent Ave, Port St Lucie, FL 34984. The listed phone number is (561) 373-0880.

What is Sierra Life Coaching's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sierra Life Coaching enrolled in Medicare?

Yes. Sierra Life Coaching is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sierra Life Coaching?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Sierra Life Coaching. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sierra Life Coaching was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.