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MS. SUSSETTE TOLEDO
NPI 1114060035
Counselor - Mental Health in Hialeah, FL

Active since February 14, 2007PECOS Enrolled
4175 W 20TH AVE, HIALEAH, FL 33012(305) 825-0300 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Sussette Toledo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SUSSETTE TOLEDO (NPI 1114060035) is an individual mental health provider in Hialeah, Florida, licensed in Florida (MH6173) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114060035
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. SUSSETTE TOLEDO
Location Address4175 W 20TH AVEHialeah, FL 33012-5874
Mailing Address4175 W 20th AveHialeah, FL 33012-5874 · (305) 825-0300
Phone(305) 825-0300
Sole ProprietorNo
Enumeration DateFebruary 14, 2007
Last NPPES UpdateNovember 6, 2025
NPPES CertifiedNovember 6, 2025
✔ NPI 1114060035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH6173
4175 W 20TH AVE, Hialeah, FL 33012
Open in Google Maps ↗

Other Identifiers 1

Medicaid762928100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Sussette Toledo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sussette Toledo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Citrus Health Network Inc
Same address
Federally Qualified Health Center (FQHC)
4175 W 20TH AVE
Hialeah, FL 33012
  • Reassigned Medicare billing, Florida enrollment
  • 114 clinicians in this Medicare group
NPI 1275647752 (305) 558-0151

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANESSA RAMIREZ PSYD
Psychologist
4175 W 20TH AVE
HIALEAH, FL 33012
Miami-Dade County (954) 662-0185
DAYANA MENDEZ LMHC
Counselor (Mental Health)
4175 W 20TH AVE
HIALEAH, FL 33012
Miami-Dade County (305) 825-0300
JULIANA DIAZ
Counselor (Mental Health)
4175 W 20TH AVE
HIALEAH, FL 33012
Miami-Dade County (305) 825-0300
ANNET CRUZ-DIAZ
Social Worker (Clinical)
4175 W 20TH AVE
HIALEAH, FL 33012
Miami-Dade County (305) 825-0300
ORLANDO PADRON MD
Student in an Organized Health Care Education/Training Program
4175 W 20TH AVE
HIALEAH, FL 33012
Miami-Dade County (786) 780-6103
GISELLE PELAYO
Nurse Practitioner (Primary Care)
4175 W 20TH AVE
HIALEAH, FL 33012
Miami-Dade County (305) 825-0300
MICHELINE ANNE BEAULIEU MD
Psychiatry & Neurology (Psychiatry)
4175 W 20TH AVE
HIALEAH, FL 33012
Miami-Dade County (305) 825-0300
JUNIOR WILLIAM PITTACK MD
Psychiatry & Neurology (Psychiatry)
4175 W 20TH AVE
HIALEAH, FL 33012
Miami-Dade County (305) 825-0300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sussette Toledo's NPI number?

The NPI number for Sussette Toledo is 1114060035. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Sussette Toledo located?

Sussette Toledo practices at 4175 W 20th Ave, Hialeah, FL 33012. The listed phone number is (305) 825-0300.

What is Sussette Toledo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Sussette Toledo enrolled in Medicare?

Yes. Sussette Toledo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sussette Toledo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sussette Toledo reassigns Medicare benefits to Citrus Health Network Inc (Hialeah, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sussette Toledo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sussette Toledo accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Sussette Toledo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sussette Toledo was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.