Active NPI
Susanne Mars, LMHC,LPC,LRC
- Mental Health Counselor
- Lakewood, NJ
National Provider Identifier
1144322009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0412
- Practice address
- 17 Spring Valley Dr
Lakewood, NJ 08701-7509 - Phone
- (516) 319-5933
- NPI assigned
- Sep 2, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0412 | NY | Primary |
Addresses
Primary practice location
17 Spring Valley Dr
Lakewood, NJ 08701-7509
Mailing address
17 Spring Valley Dr
Lakewood, NJ 08701-7509
Phone (732) 504-8059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0412 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1144322009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 SPRING VALLEY DR",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087017509",
"telephone_number": "732-504-8059",
"fax_number": "732-504-8059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 SPRING VALLEY DR",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087017509",
"telephone_number": "516-319-5933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARS",
"first_name": "SUSANNE",
"name_prefix": "Ms.",
"credential": "LMHC,LPC,LRC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-02",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "0412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.