Susmaria Charles, MHS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

320 Macdade Blvd Ste 205
Collingdale, PA 19023-1926

Phone

(610) 522-4506

Fax

(610) 522-4508

NPI assigned

Jul 9, 2012

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aviva Health Services Inc

  • Clinic/Center
  • Wilmington, DE
  • NPI 1891307070
  NPD Authorized official

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1124383914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 AVENEL BLVD FL 1",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194543947",
            "telephone_number": "484-466-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MACDADE BLVD STE 205",
            "city": "COLLINGDALE",
            "state": "PA",
            "postal_code": "190231926",
            "telephone_number": "610-522-4506",
            "fax_number": "610-522-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "SUSMARIA",
        "name_prefix": "Mrs.",
        "credential": "MHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanice Brown
• Raven Buchanan, M.S.W.
• Caresify LLC
• Caring Hearts Health Care Services, LLC
• Caring Hearts Health Care Services, LLC
• Malisha Cheatham, CMT
• Hsingchien James Cheng, D.M.D.
• Chester Pike Pharmacy LLC
• John Baptist Cleary II, C.M.T.
• Collingdale Dental Arts PC

• Mental Health Counselor in Collingdale, PA
• Providers in Collingdale, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.