Active NPI
Jennifer Sustar, LPCC
- Mental Health Counselor
- Willoughby, OH
National Provider Identifier
1437541752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.1700290-SUPV
- Practice address
- 38083 W Spaulding St Ste 214
Willoughby, OH 44094-6158 - Phone
- (440) 290-9914
- NPI assigned
- Feb 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E.1700290-SUPV | OH | Primary |
Addresses
Primary practice location
38083 W Spaulding St Ste 214
Willoughby, OH 44094-6158
Mailing address
8775 East Ave Ste B
Mentor, OH 44060-4303
Phone (440) 290-9914
Other practice location 1
8445 Munson Rd
Mentor, OH 44060-2410
Phone (440) 255-1700 ext. 1217
Other practice location 2
8775 East Ave Ste B
Mentor, OH 44060-4303
Phone (440) 290-9914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2844093 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.1700290-SUPV | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Star Counseling, LLC | Mental Health | Current | Accepting new patients |
Locations
8775 East Ave
#B
Mentor, OH 44060
Phone (440) 290-9914
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Mentor, OH
- NPI 1578082830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1437541752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8775 EAST AVE STE B",
"city": "MENTOR",
"state": "OH",
"postal_code": "440604303",
"telephone_number": "440-290-9914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38083 W SPAULDING ST STE 214",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440946158",
"telephone_number": "440-290-9914"
}
],
"practiceLocations": [
{
"address_1": "8445 Munson Rd",
"address_purpose": "LOCATION",
"city": "Mentor",
"state": "OH",
"postal_code": "440602410",
"country_code": "US",
"telephone_number": "440-255-1700 x1217",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8775 East Ave Ste B",
"address_purpose": "LOCATION",
"city": "Mentor",
"state": "OH",
"postal_code": "440604303",
"country_code": "US",
"telephone_number": "440-290-9914",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUSTAR",
"first_name": "JENNIFER",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-24",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.1700290-SUPV",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2844093",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.