Active NPI
Erica Rae Suszek
- Counselor
- Southfield, MI
National Provider Identifier
1447001961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401013802
- Practice address
- 28475 Greenfield Rd Ste 113
Southfield, MI 48076-3034 - Phone
- (901) 209-9123
- NPI assigned
- Apr 1, 2024
- Last updated
- Apr 1, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401013802 | MI | Primary |
Addresses
Primary practice location
28475 Greenfield Rd Ste 113
Southfield, MI 48076-3034
Mailing address
5476 Ridge TRL N
Clarkston, MI 48348-2169
Phone (248) 721-5872
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 |
|---|---|---|---|
| 6401013802 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1447001961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5476 RIDGE TRL N",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483482169",
"telephone_number": "248-721-5872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28475 GREENFIELD RD STE 113",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480763034",
"telephone_number": "901-209-9123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUSZEK",
"first_name": "ERICA",
"middle_name": "RAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-01",
"last_updated": "2024-04-01",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401013802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.