Suzanna Sofia Neubecker, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401009185 Issued in MI

Practice address

17940 Farmington Rd
Livonia, MI 48152-4444

Phone

(800) 693-1916

NPI assigned

Nov 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Richard Kneip, PH.D., P.C.

  dba Great Lakes Psychology Group

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  NPD (past)

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1194435610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2447 S JOHN HIX ST",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481863766",
            "telephone_number": "734-968-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17940 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524444",
            "telephone_number": "800-693-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUBECKER",
        "first_name": "SUZANNA",
        "middle_name": "SOFIA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401009185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Dove Nens, MA, CCC-A
• Alyssa Madonna Nerone
• Loretta Nesti
• Jeffrey Nestor, D.O.
• Jon Nettie, PT
• Neuro-Psych Services, LLP
• Neuro-Tech Recovery Systems
• Neurosurgery and Spine Care PLLC (Enhance Center for Interventional Spine and Sports)
• April Neuwirth, CNP
• Lisa Neverdausky, LMSW, CAADC

• Counselor in Livonia, MI
• Providers in Livonia, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.