Individual provider Active NPI

Suzy Faye Natasha Daren, MFT

  • Marriage & Family Therapist
  • Lutz, FL
National Provider Identifier
1659617603
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000982 Issued in NY
Practice address
2326 Audubon Preserve LN
Lutz, FL 33558-5738
Phone
(510) 406-2168
NPI assigned
Dec 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000982 NY Primary

Addresses

Primary practice location

2326 Audubon Preserve LN
Lutz, FL 33558-5738

Mailing address

2326 Audubon Preserve LN
Lutz, FL 33558-5738
Phone (510) 406-2168

Other practice location 1

2 Northside Piers
Brooklyn, NY 11249-3995
Phone (646) 504-7218

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

State licenses

LicenseStateTypeSpecialty
000982NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1659617603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 AUDUBON PRESERVE LN",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585738",
            "telephone_number": "510-406-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2326 AUDUBON PRESERVE LN",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585738",
            "telephone_number": "510-406-2168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Northside Piers",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112493995",
            "country_code": "US",
            "telephone_number": "646-504-7218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAREN",
        "first_name": "SUZY",
        "middle_name": "FAYE NATASHA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.