Active NPI
Jelen C Suriel, MHA
- Case Manager/Care Coordinator
- Bethlehem, PA
National Provider Identifier
1093035214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 865 E 4TH St
Bethlehem, PA 18015-1935 - Phone
- (484) 221-9136
- Fax
- (484) 221-9130
- NPI assigned
- Jun 10, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
865 E 4TH St
Bethlehem, PA 18015-1935
Mailing address
2701 Emmons Ave
Brooklyn, NY 11235-2209
Phone (718) 368-6291
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340928000000",
"number": "1093035214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 EMMONS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112352209",
"telephone_number": "718-368-6291",
"fax_number": "718-368-6290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 E 4TH ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151935",
"telephone_number": "484-221-9136",
"fax_number": "484-221-9130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURIEL",
"first_name": "JELEN",
"middle_name": "C",
"credential": "MHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-10",
"last_updated": "2012-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
- Superior Cardiac Imaging LLC
- Superior Medical Transportation Services LLC
- Supportive Care Resources
- Surgical Neuromonitoring Services, LLC
- Shannon L Suriani, SLP
- Alyssa Surridge, MA, LBS, BCBA
- Matthew G. Suter, D.C.
- Christopher Sutera, DO
- Pamela Marie Sutliff, MSW
- Dolores Theresa Suzansky, APN, CRNP, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.