Individual provider Active NPI

Susan B Coonrod, LPCC LICDC

  • Mental Health Counselor
  • Youngstown, OH
National Provider Identifier
1366527087
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E0002342 Issued in OH
Practice address
3528 Canfield Rd
Suite C
Youngstown, OH 44511-2779
Phone
(330) 270-3040
NPI assigned
Oct 25, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213001215 OH Practitioner - Mental Health Counselor 9234572660 Reassigns benefits to 1 organization

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
Churchill Counseling Services, Inc.Group PAC ID 3779532262, 17 clinicians

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

LicenseStateTypeSpecialty
981163OHMDAddiction (Substance Use Disorder) Counselor
E0002342OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Churchill Counseling Services, Inc Mental Health CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.