Active NPI
Susanna Beers Macciocca
- Professional Counselor
- Exton, PA
National Provider Identifier
1760153399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC017362
- Practice address
- 967 E Swedesford Rd Ste 410F
Exton, PA 19341-2466 - Phone
- (484) 393-5652
- NPI assigned
- Sep 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | PC017362 | PA | Primary |
Addresses
Primary practice location
967 E Swedesford Rd Ste 410F
Exton, PA 19341-2466
Mailing address
1423 Mill Creek Dr
West Chester, PA 19380-5979
Phone (610) 717-7666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC017362 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1760153399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1423 MILL CREEK DR",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193805979",
"telephone_number": "610-717-7666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "967 E SWEDESFORD RD STE 410F",
"city": "EXTON",
"state": "PA",
"postal_code": "193412466",
"telephone_number": "484-393-5652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACCIOCCA",
"first_name": "SUSANNA",
"middle_name": "BEERS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-23",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC017362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Exton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.