Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629067004 Individual Practitioner Female Practitioner

Susane Erickson , LMHC

Counselor - Professional • Saint Augustine, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Susane Erickson, LMHC is a certified Counselor - Professional practicing in Saint Augustine, FL. With approximately 37 years of clinical experience since completing medical education in 1989, Susane Erickson delivers high-quality medical care to the local community at 3910 LEWIS SPEEDWAY STE 1103.

Susane Erickson is affiliated with Epic Community Services Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3910 Lewis Speedway Ste 1103

Saint Augustine, FL 320848649

Telephone 9048292273
Fax 9048240724
Associated Practice Facility / Clinic
🏢 Epic Community Services, Inc Facility NPI 1831279280

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Saint Augustine, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
37 Yrs Matches City Avg
City Avg: 37.0 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Saint Augustine, FL (890 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Erickson (37 Years) 37 Yrs
Saint Augustine Specialty Average (37.0 Years) 37.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-04-09
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WV 2000

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License FL MH7654

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License FL 7654

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
766307200 (FL)
Commercial Insurance / Payer ID Bcbs
Z086G (FL)

Hospital & Practice Group Affiliations

Epic Community Services Inc

3910 Lewis Speedway, Saint Augustine, FL 320848649

Phone: 90482922734030

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Denise Grubb , LMFT

Counselor - Mental Health

NPI 1093593527

Licensed Marriage and Family Therapist

Ava Suleiman , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1134018617

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Rosalee Perez-Teel , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1215748702

Advanced Practice Registered Nurse

Erika Nyquist , APRN PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1316624778

APRNPMHNPBC

Cassandra Oborne , LMHC

Counselor - Mental Health

NPI 1316804859

Licensed Mental Health Counselor

Mark Durica , LCSW

Social Worker - Clinical

NPI 1447671763

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location April 09, 2025

Registered at 3910 LEWIS SPEEDWAY STE 1103, SAINT AUGUSTINE, FL 320848649 (Tel: 9048292273)

📍
Updated Business Mailing Address April 09, 2025

Registered at 3910 LEWIS SPEEDWAY STE 1103, SAINT AUGUSTINE, FL 320848649 (Tel: 9048292273)

👤
Provider Name / Credentials Updated April 09, 2025

Recorded as SUSANE ERICKSON, LMHC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2025

Counselor (License #MH7654 in FL)

NPI Profile Active January 24, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2011

Registered at 448 LEONARD AVE, FAIRMONT, WV 265543843 (Tel: 3043667174)

📍
Updated Business Mailing Address January 24, 2011

Registered at 301 SCOTT AVE, MORGANTOWN, WV 265088804 (Tel: 3043667174)

👤
Provider Name / Credentials Updated January 24, 2011

Recorded as SUSANE ERICKSON, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2011

Counselor (License #7654 in FL)

🟢
Initial NPI Registration & Enumeration October 18, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629067004
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2005
Last Update: April 09, 2025
Sole Proprietor: No

Mailing Address

3910 Lewis Speedway Ste 1103

Saint Augustine, FL 320848649

Phone: 9048292273

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.