Myesha Adesha Suckra

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH20132 Issued in FL

Practice address

4881 NW 8TH Ave Ste 1
Gainesville, FL 32605-4582

Phone

(352) 474-8882

NPI assigned

Nov 4, 2022

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

State licenses

Practice roles

Locations

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.

• Sage Wellness, LLC

  • Mental Health Counselor
  • Gainesville, FL
  • NPI 1780335752
  NPD

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1265149686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 NW 39TH AVE APT CC278",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066956",
            "telephone_number": "772-418-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 NW 8TH AVE STE 1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054582",
            "telephone_number": "352-474-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCKRA",
        "first_name": "MYESHA",
        "middle_name": "ADESHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH20132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natrajan Raj Subramanian, M.D.
• Sankarasubramoney H Subramony, MD
• Success Speech Therapy, LLC
• Success Speech Therapy, LLC
• David Ira Suchman, PH.D.
• Vimornwan Sudhipong, MD
• Trevor James Sudweeks
• Tyler K Sudweeks, D.O.
• Barbara Suening, DO
• Basheer Sufyan, PA

• Mental Health Counselor in Gainesville, FL
• Providers in Gainesville, 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 Nov 4, 2022; 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.