Noah Kiyotaka Suzuki, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

PC016093 Issued in PA

Practice address

1062 E Lancaster Ave Ste 2
Bryn Mawr, PA 19010-1568

Phone

(917) 684-9591

NPI assigned

Aug 28, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1114702289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 S SMEDLEY ST APT 11",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036730",
            "telephone_number": "917-684-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 E LANCASTER AVE STE 2",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101568",
            "telephone_number": "917-684-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUZUKI",
        "first_name": "NOAH",
        "middle_name": "KIYOTAKA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC016093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Grove Counseling, LLC
• Summit Grove Therapy
• Megan Supp, ATC, CMT
• Aita Kai Susi, MD
• Frances Coolidge Sutherland, PH.D.
• Cheryl Swartley, RN
• Karla Swatski, MD
• Todd Sweeney, PA-C
• Amy Richelle Swett
• Martin Baker Switzky, MD

• Counselor in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.