Individual provider Active NPI

Susan Gear, LPCC, LICDC, LSW

  • Addiction (Substance Use Disorder) Counselor
  • Mentor, OH
National Provider Identifier
1225318892
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
021329 Issued in OH
Practice address
9083 Mentor Ave
Mentor, OH 44060-6462
Phone
(440) 205-2674
NPI assigned
Aug 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 021329 OH Primary
Professional Counselor 101YP2500X E0004316 OH
Social Worker 104100000X S0029278 OH

Addresses

Primary practice location

9083 Mentor Ave
Mentor, OH 44060-6462

Mailing address

9083 Mentor Ave
Mentor, OH 44060-6462
Phone (440) 205-2674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • 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
I20240219000434 OH Practitioner - Marriage and Family Therapist 6002250016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9083 Mentor Ave
Mentor, OH 44060-6462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021329OHMDAddiction (Substance Use Disorder) Counselor
E0004316OHMDProfessional Counselor
S0029278OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lake-Geauga Recovery Centers, Inc. CurrentSince Jan 2, 2024 Accepting new patients

Locations

209 Center St
Unit E
Chardon, OH 44024
Phone (440) 285-8533

9083 Mentor Ave
Mentor, OH 44060
Phone (440) 205-2674

Organizations & group practices 1

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": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1225318892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9083 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606462",
            "telephone_number": "440-205-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9083 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606462",
            "telephone_number": "440-205-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEAR",
        "first_name": "SUSAN",
        "credential": "LPCC, LICDC, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "021329",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0004316",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0029278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.