Organization Active NPI

Susan Varady PC

  • Mental Health Counselor
  • Sterling Heights, MI
National Provider Identifier
1619067063
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6801019641 Issued in MI
Legal business name
SUSAN VARADY PC
Practice address
12151 15 Mile Rd
Sterling Heights, MI 48312-5120
Phone
(248) 591-7006
NPI assigned
Oct 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Mrs. Susan Varady, L.M.S.W., A.C.S.W.NPI 1437254364
Title
President
Phone
(248) 591-7006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 6801019641 MI Primary

Addresses

Primary practice location

12151 15 Mile Rd
Sterling Heights, MI 48312-5120

Mailing address

2221 Evergreen Dr
Royal Oak, MI 48073-3102
Phone (248) 591-7006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070329000535 MI Part B Supplier - Clinic/Group Practice 6901900018 Receives reassigned benefits from 1 practitioner
Practice locations: Berkley, MI; Sterling Heights, MI

National Provider Directory

National Provider Directory

Locations

730 S Lafayette Ave
Royal Oak, MI 48067
Phone (248) 225-7205

2200 E 12 Mile Rd
Royal Oak, MI 48067
Phone (248) 397-1530

14115 E 14 Mile Rd
Sterling Heights, MI 48312
Phone (248) 591-7006

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1619067063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 EVERGREEN DR",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733102",
            "telephone_number": "248-591-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12151 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483125120",
            "telephone_number": "248-591-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN VARADY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "VARADY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-591-7006",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.M.S.W., A.C.S.W."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801019641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.