Active NPI
Suzanne Papakonstantinou
- Counselor
- Newport Beach, CA
National Provider Identifier
1295401826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 13426
- Practice address
- 4019 Westerly PL Ste 102
Newport Beach, CA 92660-2333 - Phone
- (909) 210-4648
- NPI assigned
- Aug 23, 2021
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 13426 | CA | Primary |
Addresses
Primary practice location
4019 Westerly PL Ste 102
Newport Beach, CA 92660-2333
Mailing address
4019 Westerly PL Ste 102
Newport Beach, CA 92660-2333
Phone (714) 540-9070
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1295401826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4019 WESTERLY PL STE 102",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602333",
"telephone_number": "714-540-9070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4019 WESTERLY PL STE 102",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602333",
"telephone_number": "909-210-4648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPAKONSTANTINOU",
"first_name": "SUZANNE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-23",
"last_updated": "2023-11-29",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "13426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.