Individual provider Active NPI

Stephanie La Sha Suchon, MA, LPC

  • Professional Counselor
  • Cypress, TX
National Provider Identifier
1649777236
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
75625 Issued in TX
Practice address
8118 Fry Rd Ste 203
Cypress, TX 77433-7851
Phone
(281) 377-3743
NPI assigned
Apr 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 75625 TX Primary

Addresses

Primary practice location

8118 Fry Rd Ste 203
Cypress, TX 77433-7851

Mailing address

14090 FM 2920 Rd Ste G158
Tomball, TX 77377-5549
Phone (832) 524-4620

Other practice location 1

333 S Cherry St
Tomball, TX 77375-6614
Phone (281) 357-4111

Other practice location 2

14090 Fm 2920 Rd Ste G158
Tomball, TX 77377-5549
Phone (832) 524-4620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240105004259 TX Practitioner - Mental Health Counselor 9739530494 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Mental Health PLLC CurrentSince Jan 1, 2024 Accepting new patients
Champions Christian Counseling Center L.L.C Professional CurrentSince Aug 1, 2020 Accepting new patients
The Secret Place Counseling & Restoration Professional CurrentSince Feb 1, 2022 Accepting new patients

Locations

8118 Fry Rd
Ste 203
Cypress, TX 77433
Phone (281) 377-3743

333 S Cherry St
Tomball, TX 77375
Phone (281) 357-4111

14090 FM 2920 Rd
Ste G158
Tomball, TX 77377
Phone (832) 524-4620

Organizations & group practices 3

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": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1649777236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14090 FM 2920 RD STE G158",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773775549",
            "telephone_number": "832-524-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 FRY RD STE 203",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337851",
            "telephone_number": "281-377-3743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 S Cherry St",
            "address_purpose": "LOCATION",
            "city": "Tomball",
            "state": "TX",
            "postal_code": "773756614",
            "country_code": "US",
            "telephone_number": "281-357-4111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14090 Fm 2920 Rd Ste G158",
            "address_purpose": "LOCATION",
            "city": "Tomball",
            "state": "TX",
            "postal_code": "773775549",
            "country_code": "US",
            "telephone_number": "832-524-4620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUCHON",
        "first_name": "STEPHANIE",
        "middle_name": "LA SHA",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.