Active NPI
Renee Sabina Suss, M.A.T., BCBA
- Contractor
- Huntington Beach, CA
National Provider Identifier
1346445533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 1073262
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1073262 | MD | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Love 2 Learn Consulting LLC | Current | Accepting new patients | |
| Love 2 Learn Therapies Inc | Past | 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.
-
- Speech-Language Pathologist
- Huntington Beach, CA
- NPI 1821430182
-
- Developmental Disabilities Clinic/Center
- Huntington Beach, CA
- NPI 1861729238
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.