Susane Erickson, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2000 Issued in WV

Practice address

3910 Lewis Speedway Ste 1103
Saint Augustine, FL 32084-8649

Phone

(904) 829-2273

Fax

(904) 824-0724

NPI assigned

Oct 18, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epic Community Services IncGroup PAC ID 5193254290, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Epic Community Services, Inc

  • Community/Behavioral Health Agency
  • St Augustine, FL
  • NPI 1831279280

  FL

  Medicare reassignment Care Compare group NPD
• Valley Comprehensive Community Mental Health Center, Inc.

  • Mental Health Counselor
  • Morgantown, WV
  • NPI 1861476350

  Mental Health

  NPD (past)
• Valley Health Care Systems

  • Community/Behavioral Health Agency
  • Fairmont, WV
  • NPI 1245404359
  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1629067004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 LEWIS SPEEDWAY STE 1103",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320848649",
            "telephone_number": "904-829-2273",
            "fax_number": "904-824-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 LEWIS SPEEDWAY STE 1103",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320848649",
            "telephone_number": "904-829-2273",
            "fax_number": "904-824-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "SUSANE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7654",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "7654",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "766307200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z086G",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Epic Community Services, Inc.
• Epic Community Services, Inc.
• Michael Ray Epps Jr., DO
• Howard B Epstein, MD
• Erica Otto Counseling LLC
• Erika Cook Rd PA
• Benjamin D Ernst, D.O.
• Jeanne Esguerra, LMHC
• David Ralph Esposito
• Estate Ventures, LLC

• Professional Counselor in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.