SUSANE ERICKSON LMHC
NPI 1629067004
Counselor - Professional in Saint Augustine, FL

Active since October 18, 2005PECOS EnrolledAccepts Medicare Assignment
3910 LEWIS SPEEDWAY STE 1103, SAINT AUGUSTINE, FL 32084(904) 829-2273(904) 824-0724 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Susane Erickson Lmhc NPPES

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

SUSANE ERICKSON LMHC (NPI 1629067004) is an individual professional provider in Saint Augustine, Florida, licensed in West Virginia (2000) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1629067004
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSUSANE ERICKSONCredential: LMHC
Location Address3910 LEWIS SPEEDWAY STE 1103Saint Augustine, FL 32084-8649
Mailing Address3910 Lewis Speedway Ste 1103Saint Augustine, FL 32084-8649 · (904) 829-2273 · Fax (904) 824-0724
Fax(904) 824-0724
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateOctober 18, 2005
Last NPPES UpdateApril 9, 2025
NPPES CertifiedApril 9, 2025
✔ NPI 1629067004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WV · 2000
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MH7654 (FL), 7654 (FL)
3910 LEWIS SPEEDWAY STE 1103, Saint Augustine, FL 32084

Other Identifiers 2

Medicaid766307200FL
OtherZ086GFL · Bcbs

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susane Erickson Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840716551
PECOS Enrollment IDI20250425000490
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 Susane Erickson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
1400 OLD DIXIE HWY
St Augustine, FL 32084
  • Reassigned Medicare billing, Florida enrollment
  • 9 clinicians in this Medicare group

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

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

Counselor
3910 LEWIS SPEEDWAY STE 1103
ST AUGUSTINE, FL 32084

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 Susane Erickson's NPI number?

The NPI number for Susane Erickson is 1629067004. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Susane Erickson located?

Susane Erickson practices at 3910 Lewis Speedway Ste 1103, Saint Augustine, FL 32084. The listed phone number is (904) 829-2273.

What is Susane Erickson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Susane Erickson enrolled in Medicare?

Yes. Susane Erickson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Susane Erickson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susane Erickson reassigns Medicare benefits to Epic Community Services, Inc (St Augustine, 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 Susane Erickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susane Erickson accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Susane Erickson 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 Susane Erickson was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.