Christopher Michael Susag, PH.D., L.P.C.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC000182 Issued in MN

Practice address

2175 Highland Pkwy
Saint Paul, MN 55116-1314

Phone

(651) 788-0538

NPI assigned

Aug 17, 2010

Last updated

Aug 17, 2010By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Zenith Community Services

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1174974430
  NPD (past)
• Zenith Psychological Services

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1013207943
  NPD (past)

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1780999516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 HIGHLAND PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161314",
            "telephone_number": "651-788-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 HIGHLAND PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161314",
            "telephone_number": "651-788-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSAG",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.P.C.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC000182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supportive Housing and Managed Care Pilot (Hearth Connection)
• Supportive Housing and Managed Care Pilot (Hearth Connection)
• Supportive Journeys Psychotherapy, LLC
• Supportive Living Soultions,LLC
• Beth Anne Susag, MA, MT-BC, NMT
• Susan Borden Psych (Center for Conscious Alchemy)
• Susan Eckfeldt
• Erica Suski, RPA, RT(R)
• Eve Marie Faris Sussman, LP
• Jocelyn Sutehall, MA, LMFT

• Professional Counselor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.