Organization Active NPI

Susan Lea, LLC

Doing business as Susan Lea Therapy

  • Community/Behavioral Health Agency
  • Spartanburg, SC
National Provider Identifier
1174103543
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUSAN LEA, LLC
Doing business as
Susan Lea Therapy
Practice address
101 W St John St
Suite 103
Spartanburg, SC 29306
Phone
(864) 406-5774
Fax
(864) 778-2983
NPI assigned
Apr 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Susan Lea, LMFT, CAMS IINPI 1750809554
Title
Owner and Principal
Phone
(864) 406-5774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

101 W St John St
Suite 103
Spartanburg, SC 29306

Mailing address

101 W St John St
Suite 103
Spartanburg, SC 29306
Phone (864) 406-5774

Other names 1

  • Susan Lea Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250424002466 SC Part B Supplier - Clinic/Group Practice 4789100504 Receives reassigned benefits from 1 practitioner
Practice locations: Spartanburg, SC

National Provider Directory

National Provider Directory

Locations

101 N Pine St
Ste 415F
Spartanburg, SC 29302

101 W Saint John St
Ste 103
Spartanburg, SC 29306
Phone (864) 209-1801

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1174103543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W ST JOHN ST",
            "address_2": "SUITE 103",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29306",
            "telephone_number": "864-406-5774",
            "fax_number": "864-778-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W ST JOHN ST",
            "address_2": "SUITE 103",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29306",
            "telephone_number": "864-406-5774",
            "fax_number": "864-778-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN LEA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-10",
        "last_updated": "2025-02-06",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "LEA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER AND PRINCIPAL",
        "authorized_official_telephone_number": "864-406-5774",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT, CAMS II"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan Lea Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Susan Lea Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.