Susan Costa, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC009704 Issued in PA

Practice address

4 Wellington Blvd
Wyomissing, PA 19610-1850

Phone

(610) 678-7300

NPI assigned

Aug 3, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Susan Costa-Beddall Other name

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Mental Health Counselor

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Socalm LLCGroup PAC ID 6800236084, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Socalm LLC

  • Professional Counselor
  • Pelzer, SC
  • NPI 1699533414
  Medicare reassignment Care Compare group NPD
• Glad Services Counseling and Coaching Center

  • Marriage & Family Therapist
  • Wyomissing, PA
  • NPI 1023386117
  NPD (past)

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023532744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 PENNS DR",
            "city": "READING",
            "state": "PA",
            "postal_code": "196062882",
            "telephone_number": "610-750-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WELLINGTON BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101850",
            "telephone_number": "610-678-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Wellington Blvd",
            "address_purpose": "LOCATION",
            "city": "Wyomissing",
            "state": "PA",
            "postal_code": "196101850",
            "country_code": "US",
            "telephone_number": "610-678-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTA",
        "first_name": "SUSAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC009704",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "COSTA-BEDDALL",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cornerstone Caregiving East LLC
• Eneydi Correa
• Hannah Corson
• Justine Cortes
• Elizabeth Ann Cortorreal
• Counseling and Rehabilitation, Inc.
• Michele A Covelusky, LPN, NCBTMB
• Breanne Cox, PSY.D.
• Gary Milton Craighead, M.S
• Kelly Ann Cramner, LPC

• Professional Counselor in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.