Individual provider Active NPI

Susan Annette Rhodes, LPC

  • Professional Counselor
  • Conroe, TX
National Provider Identifier
1407426943
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4160 Issued in TX
Practice address
1913 Pagemill LN
Conroe, TX 77304-2163
Phone
(832) 493-3637
NPI assigned
Jun 28, 2021
Last updated
Jul 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4160 TX Primary

Addresses

Primary practice location

1913 Pagemill LN
Conroe, TX 77304-2163

Mailing address

1913 Pagemill LN
Conroe, TX 77304-2163
Phone (832) 493-3637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240116000131 TX Practitioner - Mental Health Counselor 5496107484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capstone Connect, PLLCGroup PAC ID 2567746837, 7 clinicians

Practice addresses (Care Compare)

1110 Kingwood Dr
Suite 120
Kingwood, TX 77339-2994
Phone (832) 401-9701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4160TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Capstone Connect, PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

3500 W Davis St
Ste 250
Conroe, TX 77304
Phone (832) 401-9701

1110 Kingwood Dr
Ste 120
Kingwood, TX 77339
Phone (832) 226-3372

Organizations & group practices 1

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": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1407426943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 PAGEMILL LN",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042163",
            "telephone_number": "832-493-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 PAGEMILL LN",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042163",
            "telephone_number": "832-493-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "SUSAN",
        "middle_name": "ANNETTE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "4160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.