Susan M Warren, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMHC10001311 Issued in MA

Practice address

Martha'S Vineyard Community Services
111 Edgartown Rd
Oak Bluffs, MA 02557

Phone

(508) 693-7900

Fax

(508) 693-7192

NPI assigned

Oct 15, 2020

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

Enrolled in MA

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Martha'S Vineyard Community Services, Inc.Group PAC ID 4385552496, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Martha'S Vineyard Community Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oak Bluffs, MA
  • NPI 1659387074
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1780282335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 SIDERS POND RD",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402665",
            "telephone_number": "508-259-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARTHA'S VINEYARD COMMUNITY SERVICES",
            "address_2": "111 EDGARTOWN RD",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "02557",
            "telephone_number": "508-693-7900",
            "fax_number": "508-693-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10001311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vineyard Ekg Billing Associates
• Vineyard Nursing Association, Inc.
• Alamjit Virk, MD
• Zeke Nathaniel Vought, CSFA
• Kristine L Vrooman, PT
• Nathan Paul Wilkins, CRNA
• Karen Williams, MD
• Carmen Wilson, MSW, LICSW
• Stacy Wise
• WNR Inc

• Mental Health Counselor in Oak Bluffs, MA
• Providers in Oak Bluffs, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.