Active NPI
Susan Mire
- Mental Health Counselor
- Belleair Bluffs, FL
National Provider Identifier
1669849014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH10713
- Practice address
- 2346 Belmar Dr
Apt 1
Belleair Bluffs, FL 33770-2053 - Phone
- (504) 606-5433
- NPI assigned
- Sep 1, 2015
- 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 | IMH10713 | FL | Primary |
Addresses
Primary practice location
2346 Belmar Dr
Apt 1
Belleair Bluffs, FL 33770-2053
Mailing address
1115 W William David Pkwy
Metairie, LA 70005-1644
Phone (504) 606-5433
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMH10713 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1669849014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 W WILLIAM DAVID PKWY",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700051644",
"telephone_number": "504-606-5433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2346 BELMAR DR",
"address_2": "APT 1",
"city": "BELLEAIR BLUFFS",
"state": "FL",
"postal_code": "337702053",
"telephone_number": "504-606-5433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRE",
"first_name": "SUSAN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-01",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH10713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belleair Bluffs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.