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JASODRA SUBA
NPI 1659730877
Counselor - Mental Health in Ocoee, FL

Active since February 16, 2016PECOS Enrolled
1572 CITRUS MEDICAL CT, OCOEE, FL 34761(855) 501-1004(866) 456-9587 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 6, 2023, Feb 16, 2016 (2 updates tracked since 2016).

About Jasodra Suba NPPES

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

JASODRA SUBA (NPI 1659730877) is an individual mental health provider in Ocoee, Florida, licensed in Florida (MH20684) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659730877
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJASODRA SUBA
Location Address1572 CITRUS MEDICAL CTOcoee, FL 34761-4547
Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954 · (916) 576-7900
Phone(855) 501-1004
Fax(866) 456-9587
Sole ProprietorYes
Enumeration DateFebruary 16, 2016
Last NPPES UpdateOctober 31, 20242 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
✔ NPI 1659730877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in FL · MH20684✔ Licensed in FL · IMH13823✔ Licensed in FL · MH13823
1572 CITRUS MEDICAL CT, Ocoee, FL 34761
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jasodra Suba 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 Reassignments

2

Medicare enrollment records show Jasodra Suba reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PA
208 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Personal Recovery Network LLC
377 mi
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Florida enrollment
  • 408 clinicians in this Medicare group
NPI 1881990869 (770) 389-8100

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 10

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

ADYA LLC
Pharmacy (Community/Retail Pharmacy)
1572 CITRUS MEDICAL CT
OCOEE, FL 34761
Orange County (407) 337-5250
BROOKE WACKER APRN
Nurse Practitioner (Psychiatric/Mental Health)
1572 CITRUS MEDICAL CT
OCOEE, FL 34761
Orange County (855) 501-1004
ROSEMARIE CRENSHAW LCSW
Social Worker (Clinical)
1572 CITRUS MEDICAL CT
OCOEE, FL 34761
Orange County (855) 501-1004
BRENDA HODGES LPCA
Counselor (Mental Health)
1572 CITRUS MEDICAL CT
OCOEE, FL 34761
Orange County (855) 501-1004
HARSH MILIN PATEL MD
Psychiatry & Neurology (Psychiatry)
1572 CITRUS MEDICAL CT
OCOEE, FL 34761
Orange County (407) 337-8535
MRS. REBECCA CORTNEY HOEPNER LMHC
Counselor (Mental Health)
1572 CITRUS MEDICAL CT
OCOEE, FL 34761
Orange County (855) 501-1004
MS. ELIZABETH LYNN LANGAN LCSW
Social Worker (Clinical)
1572 CITRUS MEDICAL CT
OCOEE, FL 34761
Orange County (855) 501-1004
ADYA LLC
Pharmacy (Long Term Care Pharmacy)
1572 CITRUS MEDICAL CT
OCOEE, FL 34761
Orange County (407) 337-5250

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 Jasodra Suba's NPI number?

The NPI number for Jasodra Suba is 1659730877. It was assigned to this individual provider in the NPPES registry on February 16, 2016.

Where is Jasodra Suba located?

Jasodra Suba practices at 1572 Citrus Medical Ct, Ocoee, FL 34761. The listed phone number is (855) 501-1004.

What is Jasodra Suba's specialty?

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

Is Jasodra Suba enrolled in Medicare?

Yes. Jasodra Suba is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jasodra Suba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jasodra Suba reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PA (Miami, FL) and Personal Recovery Network LLC (Stockbridge, GA). Each 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 Jasodra Suba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jasodra Suba accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Jasodra Suba 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 Jasodra Suba was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.