Active NPI
Michelle Beth Sukenik, PSY.D., LMHC, NCC
- Mental Health Counselor
- Boca Raton, FL
National Provider Identifier
1053566679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMHC #MH8300
- Practice address
- 9960 Central Park Blvd N
Suite 235
Boca Raton, FL 33428-1759 - Phone
- (561) 483-0844
- NPI assigned
- Nov 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NCC #263011 | FL | |
| Mental Health Counselor | 101YM0800X | LMHC #MH8300 | FL | Primary |
Addresses
Primary practice location
9960 Central Park Blvd N
Suite 235
Boca Raton, FL 33428-1759
Mailing address
9960 Central Park Blvd N
Suite 235
Boca Raton, FL 33428-1759
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 |
|---|---|---|---|
| LMHC #MH8300 | FL | MD | Mental Health Counselor |
| NCC #263011 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414022400000",
"number": "1053566679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9960 CENTRAL PARK BLVD N",
"address_2": "SUITE 235",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334281759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9960 CENTRAL PARK BLVD N",
"address_2": "SUITE 235",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334281759",
"telephone_number": "561-483-0844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUKENIK",
"first_name": "MICHELLE",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "PSY.D., LMHC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-24",
"last_updated": "2014-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "NCC #263011",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "LMHC #MH8300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.