Active NPI
Susan L Rousey, PHD, LPC, NCC
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1134446685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- S8862
- Practice address
- 1811 Sardis Rd N
Suite 207
Charlotte, NC 28270-1426 - Phone
- (704) 814-4677
- Fax
- (704) 845-6111
- NPI assigned
- Apr 23, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | S8862 | NC | Primary |
| Professional Counselor | 101YP2500X | 8862 | NC |
Addresses
Primary practice location
1811 Sardis Rd N
Suite 207
Charlotte, NC 28270-1426
Mailing address
1811 Sardis Rd N
Suite 207
Charlotte, NC 28270-1426
Phone (704) 814-4677
Other names 1
- Dr. Susan L Rousey
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S8862 | NC | MD | Mental Health Counselor |
| 8862 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588550400000",
"number": "1134446685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 SARDIS RD N",
"address_2": "SUITE 207",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282701426",
"telephone_number": "704-814-4677",
"fax_number": "704-845-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 SARDIS RD N",
"address_2": "SUITE 207",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282701426",
"telephone_number": "704-814-4677",
"fax_number": "704-845-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSEY",
"first_name": "SUSAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHD, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-23",
"last_updated": "2020-05-04",
"certification_date": "2020-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "S8862",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "8862",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "ROUSEY",
"middle_name": "L",
"prefix": "DR.",
"credential": "PHD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.