Individual provider Active NPI

Suellen Negrisoli

  • Mental Health Counselor
  • Boca Raton, FL
National Provider Identifier
1548188113
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMT4555 Issued in FL
Practice address
9864 Grand Verde Way Apt 1509
Boca Raton, FL 33428-3524
Phone
(561) 695-7492
NPI assigned
Jul 9, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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 IMT4555 FL Primary

Addresses

Primary practice location

9864 Grand Verde Way Apt 1509
Boca Raton, FL 33428-3524

Mailing address

9864 Grand Verde Way Apt 1509
Boca Raton, FL 33428-3524
Phone (561) 695-7492

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

NPI Registry JSON

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1548188113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9864 GRAND VERDE WAY APT 1509",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283524",
            "telephone_number": "561-695-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9864 GRAND VERDE WAY APT 1509",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283524",
            "telephone_number": "561-695-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRISOLI",
        "first_name": "SUELLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMT4555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.