Individual provider Active NPI

Debra Suskin Gion, LPC

  • Professional Counselor
  • Maricopa, AZ
National Provider Identifier
1174691950
Registry record updated Apr 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-#0277 Issued in AZ
Practice address
21300 N John Wayne Pkwy
Suite 120
Maricopa, AZ 85139-8979
Phone
(520) 858-6262
Fax
(480) 839-0197
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-#0277 AZ Primary

Addresses

Primary practice location

21300 N John Wayne Pkwy
Suite 120
Maricopa, AZ 85139-8979

Mailing address

PO Box 12706
Tempe, AZ 85284-0046
Phone (520) 858-6262

Other identifiers 1

IdentifierTypeStateIssuer
931081OtherAZAHCCCS PROVIDER ID

Other names 1

  • Debra Suskin Wingo Former name

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

LicenseStateTypeSpecialty
LPC-#0277AZMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398556800000",
    "number": "1174691950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12706",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852840046",
            "telephone_number": "520-858-6262",
            "fax_number": "480-839-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 N JOHN WAYNE PKWY",
            "address_2": "SUITE 120",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851398979",
            "telephone_number": "520-858-6262",
            "fax_number": "480-839-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GION",
        "first_name": "DEBRA",
        "middle_name": "SUSKIN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2014-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-#0277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS PROVIDER ID",
            "identifier": "931081",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "WINGO",
            "middle_name": "SUSKIN",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2014; 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.