Individual provider Active NPI

Susan Patricia Frew, M.A., L.P.C., N.C.C.

  • Mental Health Counselor
  • O'Fallon, MO
National Provider Identifier
1710976345
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
002733 Issued in MO
Practice address
103 Lincoln St
O Fallon, MO 63366-1603
Phone
(636) 978-6901
Fax
(636) 978-0244
NPI assigned
Oct 17, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 002733 MO Primary

Addresses

Primary practice location

103 Lincoln St
O Fallon, MO 63366-1603

Mailing address

103 Lincoln St
O Fallon, MO 63366-1603
Phone (636) 978-6901

Other names 1

  • Susan Patricia Ghiglione Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20240116000527 MO Practitioner - Mental Health Counselor 9830541838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Southern Illinois University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care St LouisGroup PAC ID 7810800737, 171 clinicians

Practice addresses (Care Compare)

12355 De Paul Dr
Suite 150
Bridgeton, MO 63044-2581
Phone (314) 344-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002733MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis CurrentSince Jan 1, 2024 Accepting new patients
SSM Health Care St. Louis CurrentSince Jan 1, 2024 Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

12355 De Paul Dr
Ste 150
Bridgeton, MO 63044
Phone (314) 344-7153

12355 De Paul Dr
Ste 160
Bridgeton, MO 63044
Phone (314) 344-7101

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1710976345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LINCOLN ST",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633661603",
            "telephone_number": "636-978-6901",
            "fax_number": "636-978-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 LINCOLN ST",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633661603",
            "telephone_number": "636-978-6901",
            "fax_number": "636-978-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREW",
        "first_name": "SUSAN",
        "middle_name": "PATRICIA",
        "credential": "M.A., L.P.C., N.C.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "002733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "GHIGLIONE",
            "middle_name": "PATRICIA",
            "credential": "M.A., L.P.C., N.C.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in O'Fallon, MO

Sources for this page

Verify at the official NPI Registry.