Individual provider Active NPI

Susan Margaret Lipiec, LPCC-S

  • Professional Counselor
  • Cleveland, OH
National Provider Identifier
1215906193
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E 0007554 Issued in OH
Practice address
4545 College Rd
Cleveland, OH 44121-4228
Phone
(216) 373-5211
Fax
(216) 381-3802
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E 0007554 OH Primary

Addresses

Primary practice location

4545 College Rd
Cleveland, OH 44121-4228

Mailing address

3310 Dorchester Rd
Shaker Heights, OH 44120-3415
Phone (216) 246-9089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240219003586 OH Practitioner - Mental Health Counselor 4385088277 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E 0007554OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Organics LLC CurrentSince Feb 5, 2024 Accepting new patients
Cognitive Organics LLC CurrentSince Feb 5, 2024 Accepting new patients

Locations

2637 Tusky Valley Rd NE
Zoarville, OH 44656
Phone (330) 859-2213

263 Rainbow Dr
#16343
Livingston, TX 77399

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1215906193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 DORCHESTER RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441203415",
            "telephone_number": "216-246-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 COLLEGE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441214228",
            "telephone_number": "216-373-5211",
            "fax_number": "216-381-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPIEC",
        "first_name": "SUSAN",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E 0007554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.