NPIMap

Organization Active NPI

Susan Joa Dba Reflections

  • Mental Health Counselor
  • Trenton, FL
National Provider Identifier
1700228293
Registry record updated Sep 3, 2013
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Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10664 Issued in FL
Legal business name
SUSAN JOA DBA REFLECTIONS
Practice address
217 SE 2ND St
Trenton, FL 32693-3209
Phone
(386) 717-6134
NPI assigned
Jul 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Authorized official

Name
Susan Joa, LMHC
Title
LMHC
Phone
(386) 717-6134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH10664 FL Primary

Addresses

Primary practice location

217 SE 2ND St
Trenton, FL 32693-3209

Mailing address

PO Box 244
Bell, FL 32619-0244
Phone (386) 717-6134

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1700228293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 244",
            "city": "BELL",
            "state": "FL",
            "postal_code": "326190244",
            "telephone_number": "386-717-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SE 2ND ST",
            "city": "TRENTON",
            "state": "FL",
            "postal_code": "326933209",
            "telephone_number": "386-717-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN JOA DBA REFLECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "JOA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "LMHC",
        "authorized_official_telephone_number": "386-717-6134",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.