Susan Rita Kicklighter, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

749 Millbrook LN
South Daytona, FL 32119-2733

Phone

(386) 547-9526

NPI assigned

Jan 2, 2012

Last updated

Jan 2, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325462400000",
    "number": "1194095521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 MILLBROOK LN",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321192733",
            "telephone_number": "386-547-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 MILLBROOK LN",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321192733",
            "telephone_number": "386-547-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KICKLIGHTER",
        "first_name": "SUSAN",
        "middle_name": "RITA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Scott Kapelka, PTA
• Jennifer Kelly, CD(DONA)
• Brittney Kerchief
• Asad Hamid Khan, MD
• Gohar Shamshad Khan, M.D.
• Kim Kling LMT
• Amber Marie Kingsley, DC, DIBCN
• Marsha Lyn Klopfenstein
• Maimi Kobayashi
• Sandra Koch

• Mental Health Counselor in South Daytona, FL
• Providers in South Daytona, 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 2, 2012; 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.