Organization Active NPI

Pemaculture LLC

  • Mental Health Counselor
  • Saint Johns, FL
National Provider Identifier
1669206454
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PEMACULTURE LLC
Practice address
112 Bartram Oaks Walk
Suite 104 #600513
Saint Johns, FL 32259
Phone
(786) 471-8233
NPI assigned
Aug 26, 2024
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Suzette Lozada, LMHCNPI 1912635236
Title
Owner
Phone
(786) 471-8233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

112 Bartram Oaks Walk
Suite 104 #600513
Saint Johns, FL 32259

Mailing address

112 Bartram Oaks Walk Ste 104
Saint Johns, FL 32259-3268
Phone (786) 471-8233

Other names 1

  • Black Sheep Counseling LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

112 Bartram Oaks Walk
Ste 104
Saint Johns, FL 32259
Phone (786) 471-8233

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1669206454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BARTRAM OAKS WALK STE 104",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322593268",
            "telephone_number": "786-471-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BARTRAM OAKS WALK",
            "address_2": "SUITE 104 #600513",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "32259",
            "telephone_number": "786-471-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMACULTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "LOZADA",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-471-8233",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Sheep Counseling LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Saint Johns, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.