Individual provider Active NPI

Susan Vincent Cox, MSW, MA

  • Mental Health Counselor
  • Cambridge, NY
National Provider Identifier
1336299130
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
RO36369-1 Issued in NY
Practice address
15 W Main St
Cambridge, NY 12816-1118
Phone
(518) 677-2290
Fax
(518) 677-2290
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 RO36369-1 NY Primary

Addresses

Primary practice location

15 W Main St
Cambridge, NY 12816-1118

Mailing address

227 Easton Station Rd
Greenwich, NY 12834-5947
Phone (518) 692-7679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120320000139 NY Practitioner - Clinical Social Worker 4284894825 Practice locations: Saratoga Springs, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 Maple Dell
Suite 3
Saratoga Springs, NY 12866-2953
Phone (518) 796-8793

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
RO36369-1NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336299130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 EASTON STATION RD",
            "city": "GREENWICH",
            "state": "NY",
            "postal_code": "128345947",
            "telephone_number": "518-692-7679",
            "fax_number": "518-677-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W MAIN ST",
            "city": "CAMBRIDGE",
            "state": "NY",
            "postal_code": "128161118",
            "telephone_number": "518-677-2290",
            "fax_number": "518-677-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "SUSAN",
        "middle_name": "VINCENT",
        "credential": "MSW, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "RO36369-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, NY

Sources for this page

Verify at the official NPI Registry.