Susan M Cizmas, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

64194 Issued in TX

Practice address

4209 Gateway Dr Ste 200
Colleyville, TX 76034-7918

Phone

(214) 853-1607

Fax

(817) 456-7890

NPI assigned

Apr 23, 2012

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Solas Behavioral Health, PLLC

  • Professional Counselor
  • Dallas, TX
  • NPI 1538707567
  NPD Authorized official

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1649537044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 GATEWAY DR STE 200",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347918",
            "telephone_number": "214-853-1607",
            "fax_number": "817-456-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 GATEWAY DR STE 200",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347918",
            "telephone_number": "214-853-1607",
            "fax_number": "817-456-7890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12830 Hillcrest Rd Ste D111",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752301527",
            "country_code": "US",
            "telephone_number": "214-853-1607",
            "fax_number": "817-456-7890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIZMAS",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiropractic Wellness and Rehabilitation P.a.
• Jose G Chow, D.D.S.
• Christopher L Tye MD DDS PA
• Christopher M. King, DDS, MD, PLLC (Mid Cities Oral & Maxillofacial Surgery)
• City of Colleyville (Colleyville Fire Department)
• Chelsey Clark
• Tamera D Clark, ND, SLP
• Tara Lowe Clark, MD
• Kimberly Coffee, AGPCNP
• Colin Tkachuk (Optimum Chiropractic and Wellness Center)

• Professional Counselor in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.