Suzanne Marie Robertson, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH15538 Issued in FL

Practice address

119 Van Fleet CT
Auburndale, FL 33823-2019

Phone

(863) 370-5668

NPI assigned

Sep 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cobalt Counseling Inc.

  • Adult Mental Health Clinic/Center
  • Auburndale, FL
  • NPI 1790502557

  FL

  Medicare reassignment NPD Authorized official
• Cobalt Counseling Inc.

  • Adult Mental Health Clinic/Center
  • Lakeland, FL
  • NPI 1215754056
  NPD Authorized official
• Suzanne Robertson

  • Community/Behavioral Health Agency
  • Auburndale, FL
  • NPI 1881069151
  NPD (past) Authorized official

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1003399585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 VAN FLEET CT",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338232019",
            "telephone_number": "863-370-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 VAN FLEET CT",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338232019",
            "telephone_number": "863-370-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillianette Ramos Rios, APRN
• Karen Louise Ramsay, 0TR
• Brittanie Nicole Ramsey, ED.D.
• Deanna Suzanne Riley, APRN
• Kori Jayde Rios, PHARM.D
• Ronald Gomez
• Shannon Root, BCBA
• William Rousseau, P,A.-C.
• Ruby D Counseling Services LLC
• Chelsea Saffo, DDS

• All providers in Auburndale, FL
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.