Suzanne Plymale, PRS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

0001408 Issued in OH

Practice address

1380 Dublin Rd
Columbus, OH 43215-1025

Phone

(614) 488-7117

Fax

(614) 488-7118

NPI assigned

May 30, 2019

Last updated

Aug 31, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1215595897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 KING AVE APT D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122047",
            "telephone_number": "650-678-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 DUBLIN RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151025",
            "telephone_number": "614-488-7117",
            "fax_number": "614-488-7118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Court St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456623932",
            "country_code": "US",
            "telephone_number": "740-354-6685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "508 E Main St",
            "address_purpose": "LOCATION",
            "city": "West Union",
            "state": "OH",
            "postal_code": "456931568",
            "country_code": "US",
            "telephone_number": "937-544-5218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLYMALE",
        "first_name": "SUZANNE",
        "credential": "PRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.172099",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "QMHS",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": "CMS",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "0001408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0351485",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0379407",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Plymale
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• Kendall Poach
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• Zella Poarch
• Lindsay Pobieglo, MSW, LSW

• Peer Specialist in Columbus, OH
• Providers in Columbus, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.