Cara L Sussman, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

300 Deer Trail Rd
Reynoldsburg, OH 43068-9712

Phone

(614) 306-5694

Fax

(419) 362-7006

NPI assigned

Apr 8, 2010

Last updated

Mar 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Conscious Connections Counseling, LLC

  • Mental Health Counselor
  • Reynoldsburg, OH
  • NPI 1346018637
  Medicare reassignment NPD Authorized official
• Sound

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tukwila, WA
  • NPI 1780774950
  NPD (past)

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1396061909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 DEER TRAIL RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430689712",
            "telephone_number": "614-306-5694",
            "fax_number": "419-362-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 DEER TRAIL RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430689712",
            "telephone_number": "614-306-5694",
            "fax_number": "419-362-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSMAN",
        "first_name": "CARA",
        "middle_name": "L",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny Sullivan, M.A.
• Tina Marie Summerall
• Monica Summers, PHARMD
• Deddeh MK Sumo
• Eric John Sundberg, LDO
• Jessica Sypert, M.A., PSY.S.
• Gillian Kathleen Tackett, LPC
• Aimee Renee Talbott, FNP-C
• Catherine Taliani, MD
• Meita M Tambi, R.N.

• Professional Counselor in Reynoldsburg, OH
• Providers in Reynoldsburg, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.