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: July 26, 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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Pharmacy (Community/Retail Pharmacy)
1572 CITRUS MEDICAL CT
OCOEE, FL 34761
Nurse Practitioner (Psychiatric/Mental Health)
1572 CITRUS MEDICAL CT
OCOEE, FL 34761
Social Worker (Clinical)
1572 CITRUS MEDICAL CT
OCOEE, FL 34761
Nurse Practitioner (Psychiatric/Mental Health)
1572 CITRUS MEDICAL CT
OCOEE, FL 34761
Counselor (Mental Health)
1572 CITRUS MEDICAL CT
OCOEE, FL 34761
Psychiatry & Neurology (Psychiatry)
1572 CITRUS MEDICAL CT
OCOEE, FL 34761
Counselor (Mental Health)
1572 CITRUS MEDICAL CT
OCOEE, FL 34761
Social Worker (Clinical)
1572 CITRUS MEDICAL CT
OCOEE, FL 34761

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.

What insurance does Jasodra Suba accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan and UnitedHealthcare 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 with the weekly NPPES data releases published by CMS.