Sarabeth Ruth Soubliere, MS.ED, ITDS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

236 Georgetowne Blvd
N/a
Daytona Beach, FL 32119

Phone

(386) 631-3067

NPI assigned

Jul 24, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1164778486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 GEORGETOWNE BLVD # A",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321198902",
            "telephone_number": "386-631-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 GEORGETOWNE BLVD",
            "address_2": "N/A",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32119",
            "telephone_number": "386-631-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUBLIERE",
        "first_name": "SARABETH",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "MS.ED, ITDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015103300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gabriela Soto
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• Regina Sowards-Fox, B.A.
• Elizabeth A Spano, R.N.
• Tatiana Sparace

• Mental Health Counselor in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.