Suzanne Renee Chabot, LMFT, RN

Key facts

NPI

1245565282

Entity type

Individual (NPI type 1)

Primary specialty

Marriage & Family Therapist 106H00000X

License

000967 (NY)

Practice address

7325 State Route 5
Clinton, NY 13323-3435

Phone

(315) 859-1973

NPI assigned

Oct 8, 2009

Sex

Female

Sole proprietor

No

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.

• Brad Bennett Psychology PC Marriage & Family Therapist · Clinton, NY · NPI 1538178827
  NPD (past) MARRIAGE & FAMILY THERAPIST
• Lora a. Abraham, LCSW, P.C. Mental Health Clinic/Center (Including Community Mental Health Center) · Clinton, NY · NPI 1316662281
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 10, 2025 through Feb 10, 2027

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Registered Nurse

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 20, 2014.

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1245565282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 STATE ROUTE 5",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133233435",
            "telephone_number": "315-525-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 STATE ROUTE 5",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133233435",
            "telephone_number": "315-859-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHABOT",
        "first_name": "SUZANNE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LMFT, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-08",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "578802-1",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NY

• Denise R Casab, FNP
• Eugene M Casab, P.T.
• Mallory Melissa Caza
• Center for Addiction Recovery
• Central Oneida County Volunteer Ambulance Corps.
• Jennifer Chambrone
• Caitlin Krisa Cicak, M.S, OTR/L
• Ammie Nacole Clark
• Casey Laura Cleveland, FNP
• Clinton Central School

All providers in Clinton, NY · Marriage & Family Therapist in New York