Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477890713 Individual Practitioner Female Practitioner

Susan Maxwell

Counselor • Winter Park, FL

Professional Overview & Biography Verified Profile Summary

Susan Maxwell is a registered healthcare professional specializing in Counselor in Winter Park, FL. Practice services are available at 3550 N GOLDENROD RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3550 N Goldenrod Rd

Winter Park, FL 327928823

Telephone 4077250837
Fax 8669363829
Associated Practice Facility / Clinic
🏢 Threshold, Inc Facility NPI 1013151406

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Winter Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
53 Specialists

Practicing in Winter Park, FL (3441 Statewide)

Telehealth Adoption Rate
1.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-19
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor

NUCC Taxonomy Code: 101Y00000X

State License FL 5294

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Secondary Practice Locations

1903 Island Walk Way

Fernandina Beach, FL 320344797

Phone: 9042770027

Practice Associates & Co-Workers

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

8 Associated Practitioners
NPI 1194381277

Master of Science

Thien-Phuc Nguyen , LMHC

Counselor - Mental Health

NPI 1366912149

Licensed Mental Health Counselor

Meredith Mason , MA

Counselor - Mental Health

NPI 1497150122

Master of Arts

NPI 1740791987

Bachelor of Social Work

Olivia Perin , LCSW

Social Worker - Clinical

NPI 1811259351

Licensed Clinical Social Worker

NPI 1851028344

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location June 19, 2024

Registered at 3550 N GOLDENROD RD, WINTER PARK, FL 327928823 (Tel: 4077250837)

📍
Updated Business Mailing Address June 19, 2024

Registered at 3550 N GOLDENROD RD, WINTER PARK, FL 327928823 (Tel: 4077250837)

👤
Provider Name / Credentials Updated June 19, 2024

Recorded as SUSAN MAXWELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2024

Counselor (License #5294 in FL)

NPI Profile Active May 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 09, 2017

Registered at 1903 ISLAND WALK WAY, FERNANDINA BEACH, FL 320344797 (Tel: 9042770027)

📍
Updated Business Mailing Address May 09, 2017

Registered at 1903 ISLAND WALK WAY, FERNANDINA BEACH, FL 320344797 (Tel: 9042770027)

👤
Provider Name / Credentials Updated May 09, 2017

Recorded as SUSAN MAXWELL, CAP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2017

Counselor

NPI Profile Active January 07, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 07, 2013

Registered at 900 E VINE ST, KISSIMMEE, FL 347444551 (Tel: 4078460068)

📍
Updated Business Mailing Address January 07, 2013

Registered at 900 E VINE ST, KISSIMMEE, FL 347444551 (Tel: 4078460068)

👤
Provider Name / Credentials Updated January 07, 2013

Recorded as SUSAN MAXWELL, CAP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2013

Counselor (License #5294 in FL)

🟢
Initial NPI Registration & Enumeration January 07, 2013

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: 1477890713
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 07, 2013
Last Update: June 19, 2024
Sole Proprietor: No

Mailing Address

3550 N Goldenrod Rd

Winter Park, FL 327928823

Phone: 4077250837

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.