Active NPI
Susan M. Wilmot, MHS, LCADC
- Addiction (Substance Use Disorder) Counselor
- Stroudsburg, PA
National Provider Identifier
1821285578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 37LC00087300
- Practice address
- RR 1 Box 1496
Stroudsburg, PA 18360-9675 - Phone
- (570) 814-3358
- NPI assigned
- Sep 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00087300 | NJ | Primary |
Addresses
Primary practice location
RR 1 Box 1496
Stroudsburg, PA 18360-9675
Mailing address
PO Box 483
Delaware Water Gap, PA 18327-0483
Phone (570) 814-3358
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 |
|---|---|---|---|
| 37LC00087300 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1821285578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 483",
"city": "DELAWARE WATER GAP",
"state": "PA",
"postal_code": "183270483",
"telephone_number": "570-814-3358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 1 BOX 1496",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183609675",
"telephone_number": "570-814-3358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILMOT",
"first_name": "SUSAN",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "MHS, LCADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-26",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00087300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.