Individual provider Active NPI

Renee Sabina Suss, M.A.T., BCBA

  • Contractor
  • Huntington Beach, CA
National Provider Identifier
1346445533
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
1073262 Issued in MD
Practice address
5762 Bolsa Ave Ste 100
Huntington Beach, CA 92649-1172
Phone
(714) 292-2322
Fax
(714) 587-5602
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 1073262 MD Primary

Addresses

Primary practice location

5762 Bolsa Ave Ste 100
Huntington Beach, CA 92649-1172

Mailing address

19451 Riverdale LN
Huntington Beach, CA 92648-5529
Phone (714) 335-0517

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address renee@love2learnconsulting.com

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
1073262MDMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Love 2 Learn Consulting LLC CurrentSince Nov 9, 2021 Accepting new patients
Love 2 Learn Therapies Inc PastSince Aug 28, 2021 Accepting new patients

Locations

5762 Bolsa Ave
Ste 100
Huntington Beach, CA 92649
Phone (657) 244-0004

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1346445533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19451 RIVERDALE LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485529",
            "telephone_number": "714-335-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5762 BOLSA AVE STE 100",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491172",
            "telephone_number": "714-292-2322",
            "fax_number": "714-587-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSS",
        "first_name": "RENEE",
        "middle_name": "SABINA",
        "credential": "M.A.T., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MD",
            "license": "1073262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "renee@love2learnconsulting.com",
            "affiliation": "N",
            "address_1": "5762 Bolsa Ave Ste 100",
            "city": "Huntington Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926491172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.

Verify at the official NPI Registry.