Active NPI
Susan W Lightfoot, MHC
- Mental Health Counselor
- Pensacola, FL
National Provider Identifier
1053306878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH01493
- Practice address
- 2191 E Johnson Ave
Pensacola, FL 32514-6029 - Phone
- (850) 494-3953
- Fax
- (850) 494-3960
- NPI assigned
- Sep 19, 2005
- Last updated
- Sep 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH01493 | FL | Primary |
Addresses
Primary practice location
2191 E Johnson Ave
Pensacola, FL 32514-6029
Mailing address
2191 E Johnson Ave
Pensacola, FL 32514-6029
Phone (850) 494-3953
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH01493 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Behavioral Health Inc | Past | Accepting new patients | |
| West Florida Specialty Physicians LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1053306878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2191 E JOHNSON AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146029",
"telephone_number": "850-494-3953",
"fax_number": "850-494-3960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2191 E JOHNSON AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146029",
"telephone_number": "850-494-3953",
"fax_number": "850-494-3960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHTFOOT",
"first_name": "SUSAN",
"middle_name": "W",
"name_prefix": "Mrs.",
"credential": "MHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-19",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH01493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
- Life Solutions Counseling Services LLC
- Lifeguard Air Ambulance, Inc
- Lifeguard International
- Lifeline Pensacola, LLC (Coastal Vascular & Interventional Center)
- Lynn E Lightfoot, PH.D.
- Lighthouse Health Plan, LLC
- Lil Dental, P.a. (Sorrento Dental Care)
- William R Lile, DO
- Rachel Elizabeth Lill
- John S Lilly, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.