Active NPI
Susan L. McDannald, LPCC
- Professional Counselor
- Marysville, OH
National Provider Identifier
1134425762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E100015
- Practice address
- 453 Allenby Dr
Marysville, OH 43040-8722 - Phone
- (937) 642-0048
- NPI assigned
- Jan 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E100015 | OH | Primary |
Addresses
Primary practice location
453 Allenby Dr
Marysville, OH 43040-8722
Mailing address
453 Allenby Dr
Marysville, OH 43040-8722
Phone (937) 642-0048
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E100015 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Reflections Counseling Center, LLC | 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 and National Provider Directory roles.
-
- Clinical Social Worker
- Marysville, OH
- NPI 1154356756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296259200000",
"number": "1134425762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "453 ALLENBY DR",
"city": "MARYSVILLE",
"state": "OH",
"postal_code": "430408722",
"telephone_number": "937-642-0048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "453 ALLENBY DR",
"city": "MARYSVILLE",
"state": "OH",
"postal_code": "430408722",
"telephone_number": "937-642-0048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANNALD",
"first_name": "SUSAN",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-29",
"last_updated": "2011-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E100015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.