Individual provider Active NPI

Susan Cianfaglione, M. ED, CVE

  • Counselor
  • Norfolk, VA
National Provider Identifier
1508140856
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CC-NRY 160519301 Issued in MI
Practice address
1526 Versailles Ave
No. 1
Norfolk, VA 23509-1146
Phone
(757) 623-3776
NPI assigned
Oct 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MM1-00-6550 OH
Counselor 101Y00000X CC-NRY 160519301 MI Primary

Addresses

Primary practice location

1526 Versailles Ave
No. 1
Norfolk, VA 23509-1146

Mailing address

1526 Versailles Ave
No. 1
Norfolk, VA 23509-1146
Phone (757) 623-3776

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
CC-NRY 160519301MIMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1508140856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 VERSAILLES AVE",
            "address_2": "NO. 1",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235091146",
            "telephone_number": "757-623-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 VERSAILLES AVE",
            "address_2": "NO. 1",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235091146",
            "telephone_number": "757-623-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIANFAGLIONE",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "M. ED, CVE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "MM1-00-6550",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "CC-NRY 160519301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.