Susi Blitman, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH15054 Issued in FL

Practice address

2010 NW 150TH Ave
Pembroke Pines, FL 33028-2887

Phone

(954) 431-9838

Fax

(954) 779-2316

NPI assigned

Jul 4, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psych 4 U LLCGroup PAC ID 0547709628, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• FL HMO D-SNP
• AL HMO
• AL HMO D-SNP
• FL HMO
• Freedom Health HMO Network
• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
• FL HMO C-SNP
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68

Interoperability endpoints

• Direct secure messaging: fbh.susiblitman@141363.advancedmd-direct.com

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.

• Psych 4 U LLC

  • Psychiatry Physician
  • Pembroke Pines, FL
  • NPI 1962083428
  Medicare reassignment Care Compare group NPD
• Optum Behavioral Care of North Carolina, PC

  • Counseling Psychologist
  • Sarasota, FL
  • NPI 1033984448
  Medicare reassignment NPD
• Optum Behavioral Care of North Carolina, P.C.

  • Clinical Social Worker
  • Gulfport, MS
  • NPI 1861371718
  NPD
• Therapies 4 Kids, Inc.

  • Clinic/Center
  • Pembroke Pines, FL
  • NPI 1992107999

  Mental Health

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1003337684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10286 HARBOR INN CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330715622",
            "telephone_number": "954-547-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 NW 150TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282887",
            "telephone_number": "954-431-9838",
            "fax_number": "954-779-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLITMAN",
        "first_name": "SUSI",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-04",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH COUNSELING LICENSE",
            "identifier": "MH15054",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aliusneidis Blanco
• Rosalina Blanco
• Marlo Blasko
• Kenneth Blaze, D.O.
• Blessed Minds Therapy LLC
• Marsha Bloomfield, PHARMD
• Blooming Care Services LLC
• Blue Minds LLC
• Blue Sky Home Healthcare, Inc.
• Blue Water Pain Solutions, PA

• Mental Health Counselor in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.

Verify at the official NPI Registry.