Active NPI
Susan Sisk-Price
- Professional Counselor
- Elkton, MD
National Provider Identifier
1548632060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- ATC145
- Practice address
- 441 Little Elk Creek Rd
Elkton, MD 21921-1829 - Phone
- (443) 907-0696
- NPI assigned
- Oct 23, 2015
- Last updated
- Aug 20, 2024
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | ATC145 | MD | Primary |
Addresses
Primary practice location
441 Little Elk Creek Rd
Elkton, MD 21921-1829
Mailing address
441 Little Elk Creek Rd
Elkton, MD 21921-1829
Phone (443) 907-0696
Other practice location 1
2057 Pulaski Hwy Ste 4
North East, MD 21901-3744
Phone (443) 877-4044
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 |
|---|---|---|---|
| ATC145 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jesse Fairchild LLC | Professional | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1548632060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 LITTLE ELK CREEK RD",
"city": "ELKTON",
"state": "MD",
"postal_code": "219211829",
"telephone_number": "443-907-0696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 LITTLE ELK CREEK RD",
"city": "ELKTON",
"state": "MD",
"postal_code": "219211829",
"telephone_number": "443-907-0696"
}
],
"practiceLocations": [
{
"address_1": "2057 Pulaski Hwy Ste 4",
"address_purpose": "LOCATION",
"city": "North East",
"state": "MD",
"postal_code": "219013744",
"country_code": "US",
"telephone_number": "443-877-4044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SISK-PRICE",
"first_name": "SUSAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-23",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "ATC145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.