MS. SACRA DURANDISSE (M.S.) – Mental Health Counselor, NPI 1720377187

MS. SACRA DURANDISSE (M.S.) is a healthcare provider. based in Riviera beach, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.S.. They hold a License No. LH61085561 (WA). The NPI Number for MS. SACRA DURANDISSE (M.S.) is 1720377187

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
MS. SACRA DURANDISSE (M.S.)
NPI
1720377187
Phone
(407) 731-6656
Address
1348 W 32ND ST
Enumeration Date
6 April 2011
Last Update Date
15 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7182984375
Graduation Year
2007 (19 years ago)
PAC ID
0648707984
Group Practice PAC ID
9234460999
Professional Enrollment ID
I20241226002979
Address ID
MD207371058RI4409XHWYX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,020 MENTAL HEALTH COUNSELOR in FL

Provider Addresses for MS. SACRA DURANDISSE (M.S.)

  • 1348 W 32ND ST

    RIVIERA BEACH, FL 334043562

    Phone: (407) 731-6656

    Type: Mailing

  • 462 BRACKENWOOD LN S

    PALM BEACH GARDENS, FL 334189051

    Phone: (561) 670-7498

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241226002394IMental Health CounselorMDTBD
I20241226002979IMental Health CounselorDCTBD
I20250908000590IMental Health CounselorFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234460999View full group profile
NameSpecialtyState
Mental Health CounselorMD
Clinical PsychologistMD
Mental Health CounselorMD
Clinical Social WorkerMD
Mental Health CounselorMD
Nurse PractitionerDE
Clinical Social WorkerMD
Mental Health CounselorMD
Clinical Social WorkerMD
Mental Health CounselorOK

Reviews

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Frequently asked questions

What number should I use to identify MS. SACRA DURANDISSE (M.S.) for billing?
Administrative and clinical systems typically use NPI 1720377187 for MS. SACRA DURANDISSE (M.S.).
Should I treat MS. SACRA DURANDISSE (M.S.) as an active provider?
Patients and plans typically see MS. SACRA DURANDISSE (M.S.) as active in the national extract.
What type of care does MS. SACRA DURANDISSE (M.S.) provide?
MS. SACRA DURANDISSE (M.S.)'s profile centers on Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Can patients visit MS. SACRA DURANDISSE (M.S.) in Riviera Beach, Florida?
For routing, start with Riviera Beach, Florida for MS. SACRA DURANDISSE (M.S.), then verify phone and hours locally.
Can I export MS. SACRA DURANDISSE (M.S.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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