Active NPI
Cora Susana Sepic, ED., S.,LMHC
- Behavior Analyst
- Village of Palmetto Bay, FL
National Provider Identifier
1104046150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 8350 SW 144TH St
Village of Palmetto Bay, FL 33158-1462 - Phone
- (305) 234-8748
- NPI assigned
- May 1, 2007
- 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 | MH 5012 | FL | |
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
8350 SW 144TH St
Village of Palmetto Bay, FL 33158-1462
Mailing address
8350 SW 144TH St
Village of Palmetto Bay, FL 33158-1462
Phone (305) 234-8748
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 |
|---|---|---|---|
| MH 5012 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745625600000",
"number": "1104046150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8350 SW 144TH ST",
"city": "VILLAGE OF PALMETTO BAY",
"state": "FL",
"postal_code": "331581462",
"telephone_number": "305-234-8748",
"fax_number": "305-234-8748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8350 SW 144TH ST",
"city": "VILLAGE OF PALMETTO BAY",
"state": "FL",
"postal_code": "331581462",
"telephone_number": "305-234-8748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEPIC",
"first_name": "CORA",
"middle_name": "SUSANA",
"name_prefix": "Mrs.",
"credential": "ED., S.,LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2025-04-26",
"certification_date": "2025-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 5012",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Village of Palmetto Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.