Suzanne Koch Eckenrode, M.F.T.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC43046 Issued in CA

Practice address

5100 Marlborough Dr
San Diego, CA 92116-2020

Phone

(619) 405-6180

NPI assigned

Oct 2, 2008

Sex

Female

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

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.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1124279617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HOLLYLEAF",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562130",
            "telephone_number": "619-405-6180",
            "fax_number": "949-362-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 MARLBOROUGH DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162020",
            "telephone_number": "619-405-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKENRODE",
        "first_name": "SUZANNE",
        "middle_name": "KOCH",
        "name_prefix": "Ms.",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC43046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia J Eck, DO
• Thomas Walter Eck, M.D.
• Donald Alan Eckard, MD
• Joana Lyn Eckard, LVN
• Samuel Preston Eckard Jr.
• Avalon C Eckert, MA
• Jessi Eckert, AMFT
• Mark Eckert
• William August Eckert III, PHD
• Allison K Eckhardt

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.