Individual provider Active NPI

Suzanne Marie Gareiss, LPC

  • Counselor
  • Traverse City, MI
National Provider Identifier
1639803919
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401222847 Issued in MI
Practice address
735 S Garfield Ave Ste 200
Traverse City, MI 49686-3471
Phone
(989) 698-6835
NPI assigned
Jul 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401222847 MI Primary

Addresses

Primary practice location

735 S Garfield Ave Ste 200
Traverse City, MI 49686-3471

Mailing address

735 S Garfield Ave Ste 200
Traverse City, MI 49686-3471
Phone (989) 698-6835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241230001754 MI Practitioner - Mental Health Counselor 5294262465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

735 S Garfield Ave
200 Traverse City
Traverse City, MI 49686-3471
Phone (800) 693-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401222847MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Dec 9, 2024 Accepting new patients

Locations

735 S Garfield Ave
Ste 200
Traverse City, MI 49686
Phone (231) 409-3900

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

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.

NPI Registry JSON

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1639803919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 S GARFIELD AVE STE 200",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863471",
            "telephone_number": "989-698-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 S GARFIELD AVE STE 200",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863471",
            "telephone_number": "989-698-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAREISS",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401222847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.