Active NPI
Susan Gardner Josephson, LMHC
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1053594606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH3749
- Practice address
- 601 W Michigan St
Orlando, FL 32805-6203 - Phone
- (407) 518-6936
- Fax
- (407) 518-1289
- NPI assigned
- Dec 6, 2007
- 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 | MH3749 | FL | Primary |
Addresses
Primary practice location
601 W Michigan St
Orlando, FL 32805-6203
Mailing address
7138 Red Lantern Dr
Harmony, FL 34773-6059
Phone (407) 593-2592
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 |
|---|---|---|---|
| MH3749 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1053594606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7138 RED LANTERN DR",
"city": "HARMONY",
"state": "FL",
"postal_code": "347736059",
"telephone_number": "407-593-2592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W MICHIGAN ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328056203",
"telephone_number": "407-518-6936",
"fax_number": "407-518-1289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPHSON",
"first_name": "SUSAN",
"middle_name": "GARDNER",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-06",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH3749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.