Active NPI
Suquoya Tyler
- Mental Health Counselor
- Greenacres, FL
National Provider Identifier
1558087023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH20529
- Practice address
- 5416 Queenship CT
Greenacres, FL 33463-5965 - Phone
- (954) 695-9415
- NPI assigned
- Oct 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH20529 | FL | Primary |
Addresses
Primary practice location
5416 Queenship CT
Greenacres, FL 33463-5965
Mailing address
5416 Queenship CT
Greenacres, FL 33463-5965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 27, 2024 through Feb 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH20529 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1558087023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5416 QUEENSHIP CT",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334635965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5416 QUEENSHIP CT",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334635965",
"telephone_number": "954-695-9415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "SUQUOYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-17",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH20529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenacres, FL
- Tri County Ipa, Inc
- Trinity Counseling Center of Florida, Inc.
- Steven Craig Trisker, DNP
- Twentyfour Seven Home Health Care
- Two Helping Hands HHC, Inc
- MD Wasim Uddin
- Unity Care RX, LLC
- Universal Comprehensive Healthcare Services
- Unlimited Rehabilitation Medical Center Inc
- Untouchable Medical Care Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.