Individual provider Active NPI

Susan Lea, LMFT, CAMSII

  • Marriage & Family Therapist
  • Spartanburg, SC
National Provider Identifier
1750809554
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
7000 Issued in SC
Practice address
101 W Saint John St Ste 103
Spartanburg, SC 29306-5157
Phone
(864) 406-5774
Fax
(864) 778-2983
NPI assigned
Sep 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Marriage & Family Therapist 106H00000X 7000 SC Primary

Addresses

Primary practice location

101 W Saint John St Ste 103
Spartanburg, SC 29306-5157

Mailing address

101 W Saint John St Ste 103
Spartanburg, SC 29306-5157
Phone (864) 406-5774

Other identifiers 1

IdentifierTypeStateIssuer
SCS1520281MedicaidSC

Other names 1

  • Susan R Ledford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240202002105 SC Practitioner - Marriage and Family Therapist 1850744145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 W Saint John St
Suite 103
Spartanburg, SC 29306-5157
Phone (864) 406-5774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7000SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Lea, LLC CurrentSince Apr 18, 2018 Accepting new patients

Locations

101 W Saint John St
Ste 103
Spartanburg, SC 29306
Phone (864) 209-1801

101 N Pine St
Ste 415F
Spartanburg, SC 29302

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": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1750809554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W SAINT JOHN ST STE 103",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065157",
            "telephone_number": "864-406-5774",
            "fax_number": "864-778-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W SAINT JOHN ST STE 103",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065157",
            "telephone_number": "864-406-5774",
            "fax_number": "864-778-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEA",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LMFT, CAMSII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "7000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SCS1520281",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "LEDFORD",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.