Active NPI
Suzanne Denise Austin, CAP, BA
- Addiction (Substance Use Disorder) Counselor
- St Petersburg, FL
National Provider Identifier
1750721114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 4180
- Practice address
- 928 22ND Ave S
St Petersburg, FL 33705-2934 - Phone
- (727) 327-7656
- NPI assigned
- Jul 1, 2013
- Last updated
- Jul 1, 2013
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4180 | FL | Primary |
Addresses
Primary practice location
928 22ND Ave S
St Petersburg, FL 33705-2934
Mailing address
709 Jacaranda Dr
Oldsmar, FL 34677-4545
Phone (727) 327-7656
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4180 | FL | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372636800000",
"number": "1750721114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 JACARANDA DR",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346774545",
"telephone_number": "727-327-7656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 22ND AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337052934",
"telephone_number": "727-327-7656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "SUZANNE",
"middle_name": "DENISE",
"credential": "CAP, BA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-01",
"last_updated": "2013-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "4180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
- Louise Kay Auriemma, LMHC
- Aurindom Narayan MD PA
- Ethan Tanner Austell, MS, ATC, LAT, CES
- Briana Austin, M.S.
- Sasha Austin
- Authentic Pelvic Health LLC
- Authenticare Home Health Services
- Autism Early Intervention Clinics
- Automatic Hearing Solutions, Inc (Bay Area Hearing Care Professionals)
- Deliah Quinesha Autry-Jones, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.