Individual provider Active NPI

Suzanna Victoria Owens, LPC/MHSP/NCC

  • Professional Counselor
  • Bartlett, TN
National Provider Identifier
1437615507
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4550 Issued in TN
Practice address
6551 Stage Oaks Dr Ste 4
Bartlett, TN 38134-3895
Phone
(901) 387-0026
NPI assigned
Feb 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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 4550 TN Primary

Addresses

Primary practice location

6551 Stage Oaks Dr Ste 4
Bartlett, TN 38134-3895

Mailing address

2673 Yale Ave
Memphis, TN 38112-3335
Phone (901) 567-0415

Other names 1

  • Mrs. Suzanna Victoria Owens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20231213001636 TN Practitioner - Mental Health Counselor 3173972346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clover Counseling Services, Inc.Group PAC ID 0749639912, 4 clinicians
Alliance Healthcare ServicesGroup PAC ID 4082766621, 28 clinicians

Practice addresses (Care Compare)

6551 Stage Oaks Dr
Suite 4
Bartlett, TN 38134-3895
Phone (901) 387-0026

951 Court Ave
Memphis, TN 38103-2813
Phone (901) 353-5440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4550TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Healthcare Services CurrentSince Jan 1, 2024 Accepting new patients
Clover Counseling Services Inc Professional CurrentSince Jan 1, 2024 Accepting new patients
Alliance Healthcare Services CurrentSince Jan 1, 2024 Accepting new patients
Alliance Healthcare Services Broad Pharmacy PastSince Apr 6, 2025 Accepting new patients
Compassion Mental Health Inc PastSince Jul 1, 2022 Accepting new patients

Locations

6551 Stage Oaks Dr
Ste 4
Bartlett, TN 38134
Phone (901) 387-0026

3200 Broad Ave
Memphis, TN 38112
Phone (901) 577-9400

2673 Yale Ave
Memphis, TN 38112
Phone (901) 262-4112

951 Court Ave
Memphis, TN 38103
Phone (901) 577-1800

3810 Winchester Rd
Memphis, TN 38118
Phone (901) 369-1400

2220 Union Ave
Memphis, TN 38104
Phone (901) 369-1480

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1437615507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2673 YALE AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381123335",
            "telephone_number": "901-567-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 STAGE OAKS DR STE 4",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343895",
            "telephone_number": "901-387-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "SUZANNA",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "LPC/MHSP/NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "4550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNA",
            "last_name": "OWENS",
            "middle_name": "VICTORIA",
            "prefix": "MRS.",
            "credential": "JOHNSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.