Individual provider Active NPI

Suzette M Casabianca, LMFT

  • Marriage & Family Therapist
  • Palm Harbor, FL
National Provider Identifier
1396145702
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
2708 Alt 19
#507-10
Palm Harbor, FL 34683-2665
Phone
(727) 597-3303
Fax
(727) 865-5150
NPI assigned
Sep 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT-2922 FL
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

2708 Alt 19
#507-10
Palm Harbor, FL 34683-2665

Mailing address

P.O. Box 883
Port Richey, FL 34673
Phone (727) 597-3303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 12, 2024 through Nov 12, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT-2922FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Suzette Casabianca LMFT PastSince Sep 29, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1396145702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 883",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "34673",
            "telephone_number": "727-597-3303",
            "fax_number": "727-754-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 ALT 19",
            "address_2": "#507-10",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832665",
            "telephone_number": "727-597-3303",
            "fax_number": "727-865-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASABIANCA",
        "first_name": "SUZETTE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT-2922",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.