Individual provider Active NPI

Susan A Dawson, L.M.H.C., C.A.P.

  • Mental Health Counselor
  • Pensacola, FL
National Provider Identifier
1174956536
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11067 Issued in FL
Practice address
321 N de Villiers St
Suite 209
Pensacola, FL 32501-3890
Phone
(850) 512-6574
Fax
(850) 466-3959
NPI assigned
Aug 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP 5435 FL
Mental Health Counselor 101YM0800X MH11067 FL Primary

Addresses

Primary practice location

321 N de Villiers St
Suite 209
Pensacola, FL 32501-3890

Mailing address

321 N de Villiers St
Suite 209
Pensacola, FL 32501-3890
Phone (850) 512-6574

Other names 1

  • Susan A Stainrod Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260612000113 FL Practitioner - Mental Health Counselor 4587093596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CAP 5435FLMDAddiction (Substance Use Disorder) Counselor
MH11067FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reality Check Counseling Services, LLC Mental Health Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1174956536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N DE VILLIERS ST",
            "address_2": "SUITE 209",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013890",
            "telephone_number": "850-512-6574",
            "fax_number": "850-466-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N DE VILLIERS ST",
            "address_2": "SUITE 209",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013890",
            "telephone_number": "850-512-6574",
            "fax_number": "850-466-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "L.M.H.C., C.A.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP 5435",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "STAINROD",
            "middle_name": "A",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.