Active NPI
Ronda Suder
- Counselor
- Bridgeport, WV
National Provider Identifier
1386332435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 120 Professional PL
Bridgeport, WV 26330-4599 - Phone
- (304) 460-5123
- NPI assigned
- Apr 26, 2023
- Last updated
- Apr 26, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
120 Professional PL
Bridgeport, WV 26330-4599
Mailing address
3689 Audra Park Rd
Belington, WV 26250-9387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
108 3Rd St
Suite 21
Elkins, WV 26241-3831
7282 Plantation Rd
Suite 300
Pensacola, FL 32504-6252
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suder Integrative Therapy Group | Current | Accepting new patients | |
| Evolve Modern: Mind & Body Wellbeing, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Integrative Therapy Group
- Mental Health Counselor
- Belington, WV
- NPI 1760340046
-
dba Mountain Healing
- Psychiatric/Mental Health Nurse Practitioner
- Elkins, WV
- NPI 1124889779
-
- Professional Counselor
- Elkins, WV
- NPI 1619699873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1386332435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3689 AUDRA PARK RD",
"city": "BELINGTON",
"state": "WV",
"postal_code": "262509387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 PROFESSIONAL PL",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263304599",
"telephone_number": "304-460-5123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDER",
"first_name": "RONDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-26",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.