Individual provider Active NPI

Susan C Ebbs, LMHC

  • Mental Health Counselor
  • Norwood, MA
National Provider Identifier
1245767698
Registry record updated May 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7666 Issued in MA
Practice address
1506 Providence Hwy Ste 25
Norwood, MA 02062-4647
Phone
(617) 401-7700
NPI assigned
May 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7666 MA Primary

Addresses

Primary practice location

1506 Providence Hwy Ste 25
Norwood, MA 02062-4647

Mailing address

9 Wakeland Rd
Dover, MA 02030-2056
Phone (508) 479-3396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240118000120 MA Practitioner - Mental Health Counselor 8426400185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians

Practice addresses (Care Compare)

5 Namskaket Rd
Orleans, MA 02653-3202
Phone (774) 332-3791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Atrius Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Northeast Health Services, LLC CurrentSince Sep 1, 2024 Accepting new patients
Oasis Behavioral Health Center LLC PastSince Dec 30, 2019 Accepting new patients

Locations

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

5 Namskaket Rd
Orleans, MA 02653
Phone (774) 332-3791

1250 Hancock St
Quincy, MA 02169
Phone (617) 774-0600

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494892800000",
    "number": "1245767698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WAKELAND RD",
            "city": "DOVER",
            "state": "MA",
            "postal_code": "020302056",
            "telephone_number": "508-479-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 PROVIDENCE HWY STE 25",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624647",
            "telephone_number": "617-401-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBBS",
        "first_name": "SUSAN",
        "middle_name": "C",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2017-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.