Individual provider Active NPI

Suzanne Pell, LPCC

  • Mental Health Counselor
  • Falmouth, KY
National Provider Identifier
1821551417
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
272611 Issued in KY
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

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240208000294 OH Practitioner - Mental Health Counselor 6507209434 Reassigns benefits to 1 organization
I20241204000850 KY Practitioner - Mental Health Counselor 6507209434 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
C.1901621OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Kentucky Mental Health Mental Retardation Regional Board CurrentSince Nov 4, 2024 Accepting new patients
Talbert House CurrentSince Jan 1, 2024 Accepting new patients
Northern Kentucky Mental Health Mental Retardation Regional Board CurrentSince Nov 4, 2024 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.

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

Verify at the official NPI Registry.