Individual provider Active NPI

Suzanne Choynake, LPC

  • Mental Health Counselor
  • Newport, NC
National Provider Identifier
1255691192
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8215 Issued in NC
Practice address
105 Eudora Dr
Newport, NC 28570
Phone
(704) 699-6375
NPI assigned
May 25, 2012
Last updated
Jul 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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 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

IdentifierTypeStateIssuer
8215OtherNCNCBLPC

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

LicenseStateTypeSpecialty
8215NCMDPhysical 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.

Verify at the official NPI Registry.