JASODRA SUBA NPI 1659730877

NPI Information

  • NPI: 1659730877
  • Provider Name: JASODRA SUBA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1572 CITRUS MEDICAL CT
    OCOEE, FL
    ZIP 34761
  • Phone: (855) 501-1004

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NPI Details

Jasodra Suba is a mental health counselor in Ocoee, FL. Jasodra Suba NPI is 1659730877. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1572 CITRUS MEDICAL CT
OCOEE, FL
ZIP 34761-547
Phone: (855) 501-1004
Fax: (866) 456-9587

The NPI 1659730877 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/16/2016 and was last updated on 10/31/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthIMH13823FLORIDANo
2101YM0800XCounselorMental HealthMH13823FLORIDANo
3101YM0800XCounselorMental HealthMH20684FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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