Individual provider Active NPI

Susan Michelle Amato, LMHC

  • Professional Counselor
  • Loxahatchee, FL
National Provider Identifier
1366730517
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MH11996 Issued in FL
Practice address
7040 Seminole Pratt Whitney Rd Ste 25-171
Loxahatchee, FL 33470-5714
Phone
(855) 738-3733
NPI assigned
Jul 20, 2011
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Professional Counselor 101YP2500X 6401012558 MI
Professional Counselor 101YP2500X LC3242 MD
Professional Counselor 101YP2500X MH11996 FL Primary

Addresses

Primary practice location

7040 Seminole Pratt Whitney Rd Ste 25-171
Loxahatchee, FL 33470-5714

Mailing address

7040 Seminole Pratt Whitney Rd Ste 25-171
Loxahatchee, FL 33470-5714
Phone (855) 738-3733

Other names 1

  • Susan Michelle Drennan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240214001993 FL Practitioner - Mental Health Counselor 5991149270 Practice locations: Loxahatchee, FL
I20241024003927 DC Practitioner - Mental Health Counselor 5991149270

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15789 60TH PL N
Loxahatchee, FL 33470-3497
Phone (855) 738-3733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dream Believe Transforming Lives Counseling Corp Professional CurrentSince Apr 12, 2012 Accepting new patients

Locations

1035 S State Road 7
Ste 315
Wellington, FL 33414
Phone (561) 571-5501

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1366730517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 SEMINOLE PRATT WHITNEY RD STE 25-171",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334705714",
            "telephone_number": "855-738-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 SEMINOLE PRATT WHITNEY RD STE 25-171",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334705714",
            "telephone_number": "855-738-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMATO",
        "first_name": "SUSAN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012558",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3242",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH11996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "DRENNAN",
            "middle_name": "MICHELLE",
            "credential": "LPC,LCPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Loxahatchee, FL

Sources for this page

Verify at the official NPI Registry.