Susan Elizabeth Valle, LPC
Individual provider Active NPI Professional Counselor · Greenville, MO
NPI 1013402965 · NPPES record last updated Oct 31, 2023
Key facts
- NPI
- 1013402965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 290 Maple Street
Greenville, MO 63944-8121 - Phone
- (573) 868-8010
- NPI assigned
- Jun 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231208001967 | MO | Practitioner - Mental Health Counselor | 4183073661 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Counseling Center, Inc. | Current |
Accepting new patients | |
| Family Counseling Center, Inc. | Current |
Accepting new patients |
Locations
315 E Walnut St
Ellington, MO 63638
Phone (573) 663-2500
5 Sugar Creek Rd
Piedmont, MO 63957
Phone (573) 223-4169
3001 Warrior Ln
Poplar Bluff, MO 63901
Phone (573) 785-7453
686 Lester St
Poplar Bluff, MO 63901
Phone (573) 686-2411
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
290 Maple Street
Greenville, MO 63944-8121
Mailing address
290 Maple Street
Greenville, MO 63944-8121
Phone (573) 868-8010
Other providers in Greenville, MO
- Babita Patnaik
- Melinda Karole Smith-Matthews
- Yvonne L Smith
- Gabriel Thompson
- Penny Sue Thompson
- Mary Thea Voelker
- Wayne County Health Center
- Wayne County Health Center
- Wayne County Health Center
All providers in Greenville, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.