Active NPI
Susan B Coonrod, LPCC LICDC
- Mental Health Counselor
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E0002342
- Practice address
- 3528 Canfield Rd
Suite C
Youngstown, OH 44511-2779 - Phone
- (330) 270-3040
- NPI assigned
- Oct 25, 2006
- Last updated
- Sep 11, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 981163 | OH | |
| Mental Health Counselor | 101YM0800X | E0002342 | OH | Primary |
Addresses
Primary practice location
3528 Canfield Rd
Suite C
Youngstown, OH 44511-2779
Mailing address
420 Millbrook St
Canfield, OH 44406-9621
Phone (330) 717-3694
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3649 Canfield Rd
Suite 8
Canfield, OH 44406-9385
Phone (330) 270-3040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 981163 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E0002342 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Churchill Counseling Services, Inc | Mental Health | Current | Accepting new patients |
| Trumbull Mahoning Medical Group, Inc. | Past | Accepting new patients |
Locations
3649 Canfield Rd
Ste 8
Canfield, OH 44406
Phone (330) 270-3040
3528 Canfield Rd
Ste C
Youngstown, OH 44511
Phone (330) 270-3040
4531 Belmont Ave
Ste 8
Youngstown, OH 44505
Phone (330) 759-0099
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Youngstown, OH
- NPI 1013996271
-
- Internal Medicine Physician
- Youngstown, OH
- NPI 1538353883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1366527087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 MILLBROOK ST",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444069621",
"telephone_number": "330-717-3694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3528 CANFIELD RD",
"address_2": "SUITE C",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445112779",
"telephone_number": "330-270-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COONROD",
"first_name": "SUSAN",
"middle_name": "B",
"credential": "LPCC LICDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "981163",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E0002342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.