Individual provider Active NPI

Susan Begley, LMHC

  • Mental Health Counselor
  • Melbourne, FL
National Provider Identifier
1013295229
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11717 Issued in FL
Practice address
1619 Ferndale Ave
Melbourne, FL 32935
Phone
(321) 604-9078
NPI assigned
Jul 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH11717 FL Primary

Addresses

Primary practice location

1619 Ferndale Ave
Melbourne, FL 32935

Mailing address

1619 Ferndale Ave
Melbourne, FL 32935-5330
Phone (321) 604-9078

Other practice location 1

1600 Sarno Rd
Melbourne, FL 32935-4938
Phone (321) 604-9078

Other practice location 2

1600 Sarno Rd
Melbourne, FL 32935-4938
Phone (321) 604-9078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH11717FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1013295229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 FERNDALE AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355330",
            "telephone_number": "321-604-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 FERNDALE AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32935",
            "telephone_number": "321-604-9078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Sarno Rd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329354938",
            "country_code": "US",
            "telephone_number": "321-604-9078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Sarno Rd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329354938",
            "country_code": "US",
            "telephone_number": "321-604-9078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEGLEY",
        "first_name": "SUSAN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.