Susan K Kauffman, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH2837 Issued in FL

Practice address

146 Depot St Ste 202
Blue Ridge, GA 30513-8503

Phone

(706) 964-6111

Fax

(706) 964-6111

NPI assigned

Sep 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Mental Health Counselor

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Susan K Kauffman LMHC PLLC

  • Clinical Psychologist
  • Blue Ridge, GA
  • NPI 1346521481

  Mental Health

  Medicare reassignment NPD Authorized official
• Capeside Psychiatry, PLLC

  • Psychiatry Physician
  • Wilmington, NC
  • NPI 1760891980
  NPD

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1205820198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1157",
            "city": "MC CAYSVILLE",
            "state": "GA",
            "postal_code": "305551157",
            "telephone_number": "941-780-4192",
            "fax_number": "706-964-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 DEPOT ST STE 202",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305138503",
            "telephone_number": "706-964-6111",
            "fax_number": "706-964-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFFMAN",
        "first_name": "SUSAN",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH2837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z5963",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "421634908",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esther Jean-Gratia, PSYD
• John C Greenwald
• April Michelle Jones
• Ashley Megan Jones
• Jennifer Lee Jones, MD
• Kennestone Heart Physicians Group
• Kenney S. Atkins M.D.,P.C.
• Kimberly R Denton, MD, PC
• Jeremy Keith King, M.ED, LAT, ATC, ITAT
• Kaylee Elizabeth Kinser

• Mental Health Counselor in Blue Ridge, GA
• Providers in Blue Ridge, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.

Verify at the official NPI Registry.