Susan Lee Bobrow, LGPC, NCC, RMHCI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP9610 Issued in MD

Practice address

3049 Cleveland Ave Ste 295
Fort Myers, FL 33901-7054

Phone

(813) 754-5555

NPI assigned

Aug 8, 2019

Last updated

Aug 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1942855580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 PAINTED PALM DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193372",
            "telephone_number": "443-617-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 CLEVELAND AVE STE 295",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017054",
            "telephone_number": "813-754-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1032 Goodlette Frank Rd",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341025449",
            "country_code": "US",
            "telephone_number": "239-307-5616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOBROW",
        "first_name": "SUSAN",
        "middle_name": "LEE",
        "credential": "LGPC, NCC, RMHCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP9610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bluecrest Behavioral Health Inc.
• Bluehealth Medical Group Inc
• Linda Ann Bluhm, LCSW
• Larry Keith Blythe, CCC-SLP
• Stuart A Bobman, MD
• Ricardo Bocanegra, DDS
• Veronica Bocharova, PT, DPT
• Parker Joseph Boches, DDS
• Brian Lee Bochette, P.T.
• Brian Christopher Bockelman, M.D.

• Mental Health Counselor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.