Individual provider Active NPI

Susan Elizabeth Valle, LPC

  • Professional Counselor
  • Greenville, MO
National Provider Identifier
1013402965
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
290 Maple Street
Greenville, MO 63944-8121
Phone
(573) 868-8010
NPI assigned
Jun 23, 2018
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

290 Maple Street
Greenville, MO 63944-8121

Mailing address

290 Maple Street
Greenville, MO 63944-8121
Phone (573) 868-8010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208001967 MO Practitioner - Mental Health Counselor 4183073661 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Family Counseling Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

315 E Walnut St
Ellington, MO 63638
Phone (573) 663-2500

5 Sugar Creek Rd
Piedmont, MO 63957
Phone (573) 223-7649

3001 Warrior Ln
Poplar Bluff, MO 63901
Phone (573) 868-1200

686 Lester St
Poplar Bluff, MO 63901
Phone (573) 686-2411

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1013402965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 MAPLE STREET",
            "city": "GREENVILLE",
            "state": "MO",
            "postal_code": "639448121",
            "telephone_number": "573-868-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MAPLE STREET",
            "city": "GREENVILLE",
            "state": "MO",
            "postal_code": "639448121",
            "telephone_number": "573-868-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLE",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-23",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MO

Sources for this page

Verify at the official NPI Registry.