Individual provider Active NPI

Susan Elizabeth Hansen-Engelhard, MA, LMHC

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1427260470
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH2388 Issued in FL
Practice address
7345 W Sand Lake Rd
Suite 221
Orlando, FL 32819-5284
Phone
(407) 625-3549
Fax
(407) 826-1775
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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 MH2388 FL Primary

Addresses

Primary practice location

7345 W Sand Lake Rd
Suite 221
Orlando, FL 32819-5284

Mailing address

7345 W Sand Lake Rd
Suite 221
Orlando, FL 32819-5284
Phone (407) 625-3549

Other identifiers 1

IdentifierTypeStateIssuer
Z6728OtherFLBCBS FLORIDA PROVIDER ID

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH2388FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1427260470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 W SAND LAKE RD",
            "address_2": "SUITE 221",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195284",
            "telephone_number": "407-625-3549",
            "fax_number": "407-826-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 W SAND LAKE RD",
            "address_2": "SUITE 221",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195284",
            "telephone_number": "407-625-3549",
            "fax_number": "407-826-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN-ENGELHARD",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH2388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA PROVIDER ID",
            "identifier": "Z6728",
            "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 Nov 21, 2013; 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.