Active NPI
Susan Marie Schaefer, LMHC, LAC
- Mental Health Counselor
- Valparaiso, IN
National Provider Identifier
1558426114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39001820A
- Practice address
- 660 Morthland Dr Ste a
Valparaiso, IN 46385-4638 - Phone
- (219) 460-9200
- Fax
- (219) 465-1245
- NPI assigned
- Dec 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 86000139A | IN | |
| Mental Health Counselor | 101YM0800X | 39001820A | IN | Primary |
Addresses
Primary practice location
660 Morthland Dr Ste a
Valparaiso, IN 46385-4638
Mailing address
2004 Portage Ave
South Bend, IN 46616-2033
Phone (574) 210-6251
Other names 1
- Susan Marie Lovaas
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 |
|---|---|---|---|
| 86000139A | IN | MD | Addiction (Substance Use Disorder) Counselor |
| 39001820A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Focus, Inc | 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 and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Valparaiso, IN
- NPI 1437763760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1558426114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 PORTAGE AVE",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466162033",
"telephone_number": "574-210-6251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 MORTHLAND DR STE A",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463854638",
"telephone_number": "219-460-9200",
"fax_number": "219-465-1245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFER",
"first_name": "SUSAN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LMHC, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "86000139A",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39001820A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "LOVAAS",
"middle_name": "MARIE",
"credential": "LMHC, LAC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.