Individual provider Active NPI

Susan Schnell

  • Mental Health Counselor
  • Fort Lauderdale, FL
National Provider Identifier
1245802180
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
19788 Issued in FL
Practice address
920 NW 7TH Ave
Fort Lauderdale, FL 33311-7229
Phone
(954) 799-3990
NPI assigned
Jul 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 19788 FL Primary

Addresses

Primary practice location

920 NW 7TH Ave
Fort Lauderdale, FL 33311-7229

Mailing address

920 NW 7TH Ave
Fort Lauderdale, FL 33311-7229
Phone (954) 779-3990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19788FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mtca Psychological Services P.a. CurrentSince Nov 14, 2024 Accepting new patients
Broward Partnerships PastSince Jul 20, 2021 Accepting new patients
Broward Partnership for the Homeless, Inc. PastSince Jul 20, 2021 Accepting new patients

Locations

7091 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 558-2149

16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162

1776 NE 26th St
Wilton Manors, FL 33305
Phone (954) 566-1775

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1245802180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 NW 7TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333117229",
            "telephone_number": "954-779-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 NW 7TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333117229",
            "telephone_number": "954-799-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNELL",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "19788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.