Individual provider Active NPI

Mary Ann Suda, MA, LMHP, CPC

  • Professional Counselor
  • McCook, NE
National Provider Identifier
1073660650
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1138 Issued in NE
Practice address
207 W 2ND St
Pob 744
McCook, NE 69001-3607
Phone
(308) 345-4676
Fax
(308) 345-4676
NPI assigned
Jan 4, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1983 NE
Professional Counselor 101YP2500X 1138 NE Primary

Addresses

Primary practice location

207 W 2ND St
Pob 744
McCook, NE 69001-3607

Mailing address

207 W 2ND St
Pob 744
McCook, NE 69001-3607
Phone (308) 345-4676

Other identifiers 2

IdentifierTypeStateIssuer
47084540826MedicaidNE
84722OtherNEBC-BS ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1138NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
All-Season's Counseling Centre, LLC Mental Health Past Accepting new patients

Organizations & group practices 1

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073660650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W 2ND ST",
            "address_2": "POB 744",
            "city": "MCCOOK",
            "state": "NE",
            "postal_code": "690013607",
            "telephone_number": "308-345-4676",
            "fax_number": "308-345-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W 2ND ST",
            "address_2": "POB 744",
            "city": "MCCOOK",
            "state": "NE",
            "postal_code": "690013607",
            "telephone_number": "308-345-4676",
            "fax_number": "308-345-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDA",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "MA, LMHP, CPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1983",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47084540826",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS ID NUMBER",
            "identifier": "84722",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McCook, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.