Active NPI
Susan Joanna Patsicostas, LMHC
- Mental Health Counselor
- Dunnellon, FL
National Provider Identifier
1780245480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH6183
- Practice address
- 20540 E Pennsylvania Ave
Dunnellon, FL 34432-6057 - Phone
- (352) 465-9009
- NPI assigned
- Jun 24, 2019
- Sex
- Female
- Sole proprietor
- No
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 | MH6183 | FL | Primary |
Addresses
Primary practice location
20540 E Pennsylvania Ave
Dunnellon, FL 34432-6057
Mailing address
20540 E Pennsylvania Ave
Dunnellon, FL 34432-6057
Phone (352) 465-9009
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 |
|---|---|---|---|
| MH6183 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1780245480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20540 E PENNSYLVANIA AVE",
"city": "DUNNELLON",
"state": "FL",
"postal_code": "344326057",
"telephone_number": "352-465-9009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20540 E PENNSYLVANIA AVE",
"city": "DUNNELLON",
"state": "FL",
"postal_code": "344326057",
"telephone_number": "352-465-9009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATSICOSTAS",
"first_name": "SUSAN",
"middle_name": "JOANNA",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH6183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunnellon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.