Active NPI
Susan A Dawson, L.M.H.C., C.A.P.
- Mental Health Counselor
- Pensacola, FL
National Provider Identifier
1174956536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH11067
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| CAP 5435 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| MH11067 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
-
- Mental Health Counselor
- Pensacola, FL
- NPI 1407303944
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.