Erica Necole Desaussure, M.S.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMT2127 Issued in FL

Practice address

1630 Callie CT
Apopka, FL 32703-1567

Phone

(407) 721-9595

NPI assigned

Mar 3, 2015

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

Credentials

Master of Science

State licenses

Practice roles

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.

• Melanated Mental Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Apopka, FL
  • NPI 1891448783
  NPD Authorized official

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1669864427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 CALLIE CT",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327031567",
            "telephone_number": "407-721-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 CALLIE CT",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327031567",
            "telephone_number": "407-721-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAUSSURE",
        "first_name": "ERICA",
        "middle_name": "NECOLE",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT2127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanti Marie Dennison
• Dentistry of Apopka, PA
• Ingrid Veronica Depryor
• Joan A Deriggs, PA-C
• Jay Chetan Desai, MD
• Danielle Devine, PHARMD
• Candace Gayle Devore, LMFT
• Devoted Home Care and Support Services
• Adam Michael Deyoung, D.O.
• Kimberly Sandhya Dhanraj

• Marriage & Family Therapist in Apopka, FL
• Providers in Apopka, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.