Suzannah Glover Countryman, ED.S., LPES

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

7301 Rivers Ave
Suite 100
North Charleston, SC 29406-4650

Phone

(843) 343-1012

NPI assigned

Oct 2, 2013

Last updated

Apr 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1396172599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 RIVERS AVE",
            "address_2": "SUITE 100",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064650",
            "telephone_number": "843-343-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 RIVERS AVE",
            "address_2": "SUITE 100",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064650",
            "telephone_number": "843-343-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUNTRYMAN",
        "first_name": "SUZANNAH",
        "middle_name": "GLOVER",
        "name_prefix": "Miss",
        "credential": "ED.S., LPES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "SC",
            "license": "4662",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588615918",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Cortez, LICSW
• Costa Group LLC
• Brielle Cotter, M.A., CCC-SLP
• Christy Cottone
• Maureen O'Connor Counasse, RN
• Joshua J Courtney
• Elijah Covington
• John Martin Covington, PA-C
• Eisha Cowley, PHARMD.
• Greta Bowick Cox, RRT

• School Psychologist in North Charleston, SC
• Providers in North Charleston, SC by specialty
• School Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.