Individual provider Active NPI

Susannah Cobb, LMFT

  • Marriage & Family Therapist
  • Washington, DC
National Provider Identifier
1801136478
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
200001226 Issued in DC
Practice address
3000 Connecticut Ave NW Ste 137a
Washington, DC 20008-2683
Phone
(310) 404-3929
Fax
(734) 370-5937
NPI assigned
Feb 19, 2013
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 52983 CA
Marriage & Family Therapist 106H00000X 200001226 DC Primary

Addresses

Primary practice location

3000 Connecticut Ave NW Ste 137a
Washington, DC 20008-2683

Mailing address

3000 Connecticut Ave NW Ste 137a
Washington, DC 20008-2683
Phone (310) 404-3929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 18, 2024 through Mar 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC 52983CAMDMarriage & Family Therapist
200001226DCMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1801136478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 CONNECTICUT AVE NW STE 137A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082683",
            "telephone_number": "310-404-3929",
            "fax_number": "734-370-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CONNECTICUT AVE NW STE 137A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082683",
            "telephone_number": "310-404-3929",
            "fax_number": "734-370-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "SUSANNAH",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2022-09-02",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 52983",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "DC",
            "license": "200001226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.