Active NPI
Susan K Leguire, CNP
- Psychiatric/Mental Health Nurse Practitioner
- Lorain, OH
National Provider Identifier
1205030400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP09106
- Practice address
- 3700 Kolbe Rd
Behavioral Health Unit
Lorain, OH 44053-1611 - Phone
- (440) 960-4000
- Fax
- (440) 960-4017
- NPI assigned
- Jun 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP09106 | OH | Primary |
Addresses
Primary practice location
3700 Kolbe Rd
Behavioral Health Unit
Lorain, OH 44053-1611
Mailing address
PO Box 636643
Cincinnati, OH 45263-6643
Phone (440) 960-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3025372 | Medicaid | OH | |
| 2821781 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP09106 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological & Family Consultants, Inc. | Past | Accepting new patients | |
| Buckeye Behavioral Health LLC | 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.
-
- Psychiatry Physician
- Canton, OH
- NPI 1275793028
-
- Psychologist
- Canton, OH
- NPI 1952460008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440028800000",
"number": "1205030400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636643",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636643",
"telephone_number": "440-960-4000",
"fax_number": "440-960-4017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 KOLBE RD",
"address_2": "BEHAVIORAL HEALTH UNIT",
"city": "LORAIN",
"state": "OH",
"postal_code": "440531611",
"telephone_number": "440-960-4000",
"fax_number": "440-960-4017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGUIRE",
"first_name": "SUSAN",
"middle_name": "K",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2015-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "NP09106",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3025372",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2821781",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.