Individual provider Active NPI

Susana Rocio Cetta, LMHC

  • Mental Health Counselor
  • Palmetto Bay, FL
National Provider Identifier
1861167447
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH5096 Issued in FL
Practice address
7900 SW 176TH St
Palmetto Bay, FL 33157-6242
Phone
(786) 999-4669
NPI assigned
Aug 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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 MH5096 FL Primary

Addresses

Primary practice location

7900 SW 176TH St
Palmetto Bay, FL 33157-6242

Mailing address

7900 SW 176TH St
Palmetto Bay, FL 33157-6242
Phone (786) 999-4669

Other practice location 1

9260 SW 72nd St Ste 203
Miami, FL 33173-3255
Phone (786) 999-4669

Other identifiers 1

IdentifierTypeStateIssuer
MH5096OtherFLFLORIDAY DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION

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

LicenseStateTypeSpecialty
MH5096FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1628985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1861167447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 SW 176TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331576242",
            "telephone_number": "786-999-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 SW 176TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331576242",
            "telephone_number": "786-999-4669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9260 SW 72nd St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331733255",
            "country_code": "US",
            "telephone_number": "786-999-4669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CETTA",
        "first_name": "SUSANA",
        "middle_name": "ROCIO",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-15",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDAY DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION",
            "identifier": "MH5096",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.