Susanne Lise Graham, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMHC17795 Issued in FL

Practice address

10051 Country Rd
Weeki Wachee, FL 34613-5264

Phone

(352) 345-9267

Fax

(352) 652-3656

NPI assigned

Feb 11, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Susanne Graham

  • Mental Health Counselor
  • Spring Hill, FL
  • NPI 1982220851
  NPD Authorized official

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1619509296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 OREGON CHICKADEE RD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346138353",
            "telephone_number": "352-345-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10051 COUNTRY RD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346135264",
            "telephone_number": "352-345-9267",
            "fax_number": "352-652-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "SUSANNE",
        "middle_name": "LISE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "LMHC17795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Furlong, MA
• Trevor Gregory Gamble, DC
• Kelly Marie Gordon, APRN
• Stanley F Gould, M.D.
• Veronika Grafski
• Tristan Graham, APRN
• Anthony Grossi, DC
• Cindy Adriana Gutierrez, COTA/L
• Kristen Hankins, DC
• Marina Hanna

• Mental Health Counselor in Weeki Wachee, FL
• Providers in Weeki Wachee, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.