Suzanne A Landis, LCSW

Primary specialty

School CounselorTaxonomy code 101YS0200X

License

2000148174 Issued in MO

Practice address

100 Selma Ave
Webster Groves, MO 63119-3107

Phone

(314) 918-4281

NPI assigned

Apr 22, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Suzanne L Goldstein Professional name

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.

• Northwest Psychiatric Associates, LTD

  • Psychiatry Physician
  • O Fallon, MO
  • NPI 1962563429
  NPD (past)
• Scott J Arbaugh MD

  • Psychiatry Physician
  • Alton, IL
  • NPI 1104007467
  NPD (past)

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1194999045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9307 OLD BONHOMME RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631324310",
            "telephone_number": "314-570-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SELMA AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631193107",
            "telephone_number": "314-918-4281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1224 Graham Rd",
            "address_2": "Suite 2007",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630318028",
            "country_code": "US",
            "telephone_number": "314-839-5232",
            "fax_number": "314-839-8768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "SUZANNE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2000148174",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MO",
            "license": "2000148174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194999045",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "GOLDSTEIN",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David J Krobath, DDS
• Marilyn F. Kuhn, M.A., L.P.C.
• Lauren Kunkel
• Crystal Kwentus, MA, ATR, LPC
• Tasha Lamping
• Laura E Landon, OTD
• Amy Larue, DACM, LAC
• Laura'S Therapeutic Solutions LLC
• Legacy Health Care Services
• Laura Lewis, LCSW

• School Counselor in Webster Groves, MO
• Providers in Webster Groves, MO by specialty
• School Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.