Individual provider Active NPI

Susan Lichtfuss, LMHC

  • Mental Health Counselor
  • Pompano Beach, FL
National Provider Identifier
1336715507
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17851 Issued in FL
Practice address
3773 N Federal Hwy
Pompano Beach, FL 33064-6657
Phone
(877) 321-7658
NPI assigned
May 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 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 17851 FL Primary

Addresses

Primary practice location

3773 N Federal Hwy
Pompano Beach, FL 33064-6657

Mailing address

PO Box 1446
Pompano Beach, FL 33061-1446

Other practice location 1

150 SW 12th Ave Ste 320
Pompano Beach, FL 33069-3238
Phone (877) 321-7658

Other practice location 2

150 SW 12th Ave Ste 360
Pompano Beach, FL 33069-3238
Phone (954) 627-6157 ext. 503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208002173 FL Practitioner - Mental Health Counselor 9133578610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brave Health Inc.Group PAC ID 8123458981, 112 clinicians

Practice addresses (Care Compare)

263 Monaco F
Delray Beach, FL 33446-1406
Phone (305) 902-6347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17851FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Health Inc. CurrentSince Jan 1, 2024 Accepting new patients
Treatment Solutions of So Florida, Inc PastSince Jun 14, 2020 Accepting new patients
Treatment Solutions of So Florida, Inc Past Accepting new patients

Locations

1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749

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": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1336715507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1446",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330611446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3773 N FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646657",
            "telephone_number": "877-321-7658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 SW 12th Ave Ste 320",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330693238",
            "country_code": "US",
            "telephone_number": "877-321-7658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 SW 12th Ave Ste 360",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330693238",
            "country_code": "US",
            "telephone_number": "954-627-6157 x503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICHTFUSS",
        "first_name": "SUSAN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "17851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.