Active NPI
Julia Esther Suereth
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1306265095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMHC6809
- Practice address
- 11723 Orpington St
Suite 104
Orlando, FL 32817-4620 - Phone
- (407) 493-6022
- NPI assigned
- Apr 10, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMHC6809 | FL | Primary |
Addresses
Primary practice location
11723 Orpington St
Suite 104
Orlando, FL 32817-4620
Mailing address
11723 Orpington St
Suite 104
Orlando, FL 32817-4620
Phone (407) 493-6022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UNKNOWN | Medicaid | FL |
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 |
|---|---|---|---|
| IMHC6809 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397088000000",
"number": "1306265095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11723 ORPINGTON ST",
"address_2": "SUITE 104",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328174620",
"telephone_number": "407-493-6022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11723 ORPINGTON ST",
"address_2": "SUITE 104",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328174620",
"telephone_number": "407-493-6022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUERETH",
"first_name": "JULIA",
"middle_name": "ESTHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-10",
"last_updated": "2014-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMHC6809",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "UNKNOWN",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.