Individual provider Active NPI

Suzanne G Semivan, LPCC-S

  • Professional Counselor
  • Youngstown, OH
National Provider Identifier
1497027007
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C0008131-SUPV Issued in OH
Practice address
142 Javit CT
Youngstown, OH 44515-2409
Phone
(330) 793-2487
Fax
(330) 793-4559
NPI assigned
Jan 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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 C0008131-SUPV OH Primary

Addresses

Primary practice location

142 Javit CT
Youngstown, OH 44515-2409

Mailing address

142 Javit CT
Youngstown, OH 44515-2409
Phone (330) 793-2487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250311000702 OH Practitioner - Mental Health Counselor 3870037914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope and Healing Counseling Center IncGroup PAC ID 6406191402, 2 clinicians

Practice addresses (Care Compare)

1488 W Liberty St
Hubbard, OH 44425-3309
Phone (330) 707-4701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C0008131-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope and Healing Counseling Center Inc CurrentSince Dec 29, 2024 Accepting new patients

Locations

1488 W Liberty St
Hubbard, OH 44425
Phone (330) 707-4701

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.

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1497027007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 JAVIT CT",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445152409",
            "telephone_number": "330-793-2487",
            "fax_number": "330-793-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 JAVIT CT",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445152409",
            "telephone_number": "330-793-2487",
            "fax_number": "330-793-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMIVAN",
        "first_name": "SUZANNE",
        "middle_name": "G",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C0008131-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.