Active NPI
Suzanne Pell, LPCC
- Mental Health Counselor
- Falmouth, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 272611
- Practice address
- 318 Montjoy St Ste 320
Falmouth, KY 41040-1132 - Phone
- (859) 578-3200
- NPI assigned
- Apr 10, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.1901621 | OH | |
| Mental Health Counselor | 101YM0800X | 272611 | KY | Primary |
Addresses
Primary practice location
318 Montjoy St Ste 320
Falmouth, KY 41040-1132
Mailing address
75 Banting Dr
Georgetown, OH 45121-1460
Other practice location 1
75 Banting Dr
Georgetown, OH 45121-1460
Phone (937) 378-4812 ext. 2629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
320 Montjoy St
Falmouth, KY 41040-1132
Phone (859) 578-3200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1901621 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Kentucky Mental Health Mental Retardation Regional Board | Current | Accepting new patients | |
| Talbert House | Current | Accepting new patients | |
| Northern Kentucky Mental Health Mental Retardation Regional Board | Current | Accepting new patients |
Locations
502 Farrell Dr
Covington, KY 41011
Phone (859) 578-3204
503 Farrell Dr
Covington, KY 41011
Phone (606) 578-3214
320 Montjoy St
Falmouth, KY 41040
Phone (859) 654-6988
1515 Carll St
Cincinnati, OH 45225
Phone (513) 244-3985
2600 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 872-5863
75 Banting Dr
Georgetown, OH 45121
Phone (937) 378-4811
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Covington, KY
- NPI 1578527610
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cincinnati, OH
- NPI 1619900834
-
- Psychiatric Hospital
- Covington, KY
- NPI 1679775514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1821551417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 BANTING DR",
"city": "GEORGETOWN",
"state": "OH",
"postal_code": "451211460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 MONTJOY ST STE 320",
"city": "FALMOUTH",
"state": "KY",
"postal_code": "410401132",
"telephone_number": "859-578-3200"
}
],
"practiceLocations": [
{
"address_1": "75 Banting Dr",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "OH",
"postal_code": "451211460",
"country_code": "US",
"telephone_number": "937-378-4812 x2629",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PELL",
"first_name": "SUZANNE",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-10",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.1901621",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "272611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falmouth, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.