Susan C Vesely, LPCC
Individual provider Active NPI Professional Counselor · Mentor, OH
NPI 1639200090 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1639200090
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- E0004165 (OH)
- Practice address
- 7350 Palisades Pkwy
Mentor, OH 44060-5302 - Phone
- (440) 918-1000
- Fax
- (440) 918-1029
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0004165 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Inc | Past | Accepting new patients | |
| Pathways Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E0004165 | OH | Yes |
Addresses
Primary practice location
7350 Palisades Pkwy
Mentor, OH 44060-5302
Mailing address
13240 Stoney Springs Dr
Chardon, OH 44024-8957
Phone (440) 635-9971
Other providers in Mentor, OH
- William Scott Veenstra
- Jennifer A Velotta
- Pauline Esther Velotta
- Pamela Susan Vencl
- Linda Patricia Verba
- Viaquest Healthcare Central
- Carlin Vicchiarelli
- Lauren Vietmeier
- Walter Michael Vieweg
- Alexis Vince
All providers in Mentor, OH · Professional Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.