Individual provider Active NPI

Susan Bogen Jacobson, L.M.H.C.

  • Mental Health Counselor
  • Coral Springs, FL
National Provider Identifier
1730388737
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH0003657 Issued in FL
Practice address
1725 N University Dr Ste 350
Coral Springs, FL 33071-6000
Phone
(855) 501-1004
NPI assigned
Jul 11, 2007
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH0003657 FL Primary

Addresses

Primary practice location

1725 N University Dr Ste 350
Coral Springs, FL 33071-6000

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954

Other practice location 1

2541 Bella Vista Cir
Vero Beach, FL 32966-7689
Phone (561) 609-5495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240919004323 FL Practitioner - Mental Health Counselor 6901147826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindpath Health Florida, PLLCGroup PAC ID 7517858285, 52 clinicians

Practice addresses (Care Compare)

1725 N University Dr
Suite 350
Coral Springs, FL 33071-6000
Phone (954) 227-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH0003657FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindpath Health Florida, PLLC Mental Health CurrentSince Sep 16, 2024 Accepting new patients

Locations

3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898

7000 W Palmetto Park Rd
Ste 407
Boca Raton, FL 33433
Phone (954) 227-2700

1725 N University Dr
Ste 350
Coral Springs, FL 33071
Phone (954) 227-2700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1730388737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 N UNIVERSITY DR STE 350",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716000",
            "telephone_number": "855-501-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2541 Bella Vista Cir",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329667689",
            "country_code": "US",
            "telephone_number": "561-609-5495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "SUSAN",
        "middle_name": "BOGEN",
        "name_prefix": "Ms.",
        "credential": "L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH0003657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.