Active NPI
Suzanne Choynake, LPC
- Mental Health Counselor
- Newport, NC
National Provider Identifier
1255691192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8215
- Practice address
- 105 Eudora Dr
Newport, NC 28570 - Phone
- (704) 699-6375
- NPI assigned
- May 25, 2012
- Last updated
- Jul 25, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8215 | NC | Primary |
Addresses
Primary practice location
105 Eudora Dr
Newport, NC 28570
Mailing address
105 Eudora Dr
Newport, NC 28570-5078
Phone (704) 699-6375
Other practice location 1
236 D LePhillip Court
concord, NC 27025
Phone (704) 786-4503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8215 | Other | NC | NCBLPC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8215 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1255691192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 EUDORA DR",
"city": "NEWPORT",
"state": "NC",
"postal_code": "285705078",
"telephone_number": "704-699-6375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 EUDORA DR",
"city": "NEWPORT",
"state": "NC",
"postal_code": "28570",
"telephone_number": "704-699-6375"
}
],
"practiceLocations": [
{
"address_1": "236 D LePhillip Court",
"address_purpose": "LOCATION",
"city": "concord",
"state": "NC",
"postal_code": "27025",
"country_code": "US",
"telephone_number": "704-786-4503",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOYNAKE",
"first_name": "SUZANNE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-25",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "8215",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCBLPC",
"identifier": "8215",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.