Suzy Charles-Mezil

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2020041273 Issued in MO

Practice address

2600 E 12TH St
Kansas City, MO 64127-1321

Phone

(816) 965-1100

NPI assigned

Jan 8, 2021

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

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": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1225626898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 NE 110TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641578172",
            "telephone_number": "816-585-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E 12TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641271321",
            "telephone_number": "816-965-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES-MEZIL",
        "first_name": "SUZY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2020041273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MY LMSW KANSAS NO.",
            "identifier": "11967",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MY LMSW LICENSE NO.",
            "identifier": "2020041273",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael C Chappell, MD
• Gabrielle Chappelle
• Richard Peter Charette, MD
• Jordyn Chari
• Charles F. Breusing, D.D.S.,PC
• Deidra L Charles, MD
• Randy Charles
• Sheldon Ryan Charles, RN
• Susan Christine Charles, D.D.S.
• Steven Franklin Charochak, D.O.

• Mental Health Counselor in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.