Active NPI
Susan Gear, LPCC, LICDC, LSW
- Addiction (Substance Use Disorder) Counselor
- Mentor, OH
National Provider Identifier
1225318892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 021329
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 021329 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E0004316 | OH | MD | Professional Counselor |
| S0029278 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake-Geauga Recovery Centers, Inc. | Current | 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.
-
- Substance Abuse Rehabilitation Facility
- Mentor, OH
- NPI 1750489779
OH
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.