Individual provider Active NPI

Mary Suzanne Abercrombie, L.P.C.

  • Professional Counselor
  • Malvern, AR
National Provider Identifier
1427215425
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
59190 Issued in TX
Practice address
19195 Highway 67
Malvern, AR 72104-6640
Phone
(214) 621-9857
Fax
(214) 594-2383
NPI assigned
May 19, 2008
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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 59190 TX Primary

Addresses

Primary practice location

19195 Highway 67
Malvern, AR 72104-6640

Mailing address

19195 Highway 67
Malvern, AR 72104-6640
Phone (214) 621-9857

Other practice location 1

2931 Ridge Rd
Rockwall, TX 75032-6670
Phone (214) 621-9857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240209000258 TX Practitioner - Mental Health Counselor 9133562069 Reassigns benefits to 1 organization
I20250919000389 AR Practitioner - Mental Health Counselor 9133562069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19195 Hwy 67
Malvern, AR 72104-6640
Phone (214) 621-9857

207 S Tyler St
Dallas, TX 75208-4934
Phone (214) 621-9857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59190TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Suzie Abercrombie, LPC, PLLC Professional CurrentSince Dec 19, 2023 Accepting new patients

Locations

12700 Hillcrest Rd
Ste 214
Dallas, TX 75230
Phone (214) 621-9857

207 S Tyler St
Dallas, TX 75208
Phone (214) 621-9857

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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1427215425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19195 HIGHWAY 67",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721046640",
            "telephone_number": "214-621-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19195 HIGHWAY 67",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721046640",
            "telephone_number": "214-621-9857",
            "fax_number": "214-594-2383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2931 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750326670",
            "country_code": "US",
            "telephone_number": "214-621-9857",
            "fax_number": "214-594-2383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABERCROMBIE",
        "first_name": "MARY",
        "middle_name": "SUZANNE",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "59190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, AR

Sources for this page

Verify at the official NPI Registry.