Individual provider Active NPI

Susan Margaret Pava, LMFT

  • Mental Health Counselor
  • White Plains, NY
National Provider Identifier
1275110090
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001658 Issued in NY
Practice address
55 N Broadway Apt 2-12
White Plains, NY 10601-1645
Phone
(914) 719-6604
NPI assigned
Mar 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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 001658 NY Primary

Addresses

Primary practice location

55 N Broadway Apt 2-12
White Plains, NY 10601-1645

Mailing address

55 N Broadway Apt 2-12
White Plains, NY 10601-1645
Phone (914) 329-0987

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL susanmpava.com Direct

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
001658NYMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1275110090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N BROADWAY APT 2-12",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011645",
            "telephone_number": "914-329-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N BROADWAY APT 2-12",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011645",
            "telephone_number": "914-719-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVA",
        "first_name": "SUSAN",
        "middle_name": "MARGARET",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "susanmpava.com",
            "affiliation": "N",
            "endpointDescription": "computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "55 N Broadway Apt 2-12",
            "city": "White Plains",
            "state": "NY",
            "country_code": "US",
            "postal_code": "106011645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.