Individual provider Active NPI

Suzan E Wolpow, M.S., LMHC, LRC, CRC

  • Counselor
  • Cambridge, MA
National Provider Identifier
1841351251
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LRC 90 Issued in MA
Practice address
111 Sherman St
Rear
Cambridge, MA 02140-3232
Phone
(617) 441-0758
Fax
(617) 491-1938
NPI assigned
Dec 12, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LRC 90 MA Primary
Mental Health Counselor 101YM0800X LMHC 211 MA

Addresses

Primary practice location

111 Sherman St
Rear
Cambridge, MA 02140-3232

Mailing address

111 Sherman St
Cambridge, MA 02140-3232
Phone (617) 441-0758

Other identifiers 2

IdentifierTypeStateIssuer
892528OtherMAMASS BEHAVIORAL HEALTH PL
LM0137OtherMABCBSOF MA

Other names 1

  • Suzan Wolpow-Gill Other name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LRC 90MAMDCounselor
LMHC 211MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1841351251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SHERMAN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021403232",
            "telephone_number": "617-441-0758",
            "fax_number": "617-491-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SHERMAN ST",
            "address_2": "REAR",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021403232",
            "telephone_number": "617-441-0758",
            "fax_number": "617-491-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLPOW",
        "first_name": "SUZAN",
        "middle_name": "E",
        "credential": "M.S., LMHC, LRC, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "LRC 90",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC 211",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS BEHAVIORAL HEALTH PL",
            "identifier": "892528",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSOF MA",
            "identifier": "LM0137",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZAN",
            "last_name": "WOLPOW-GILL",
            "credential": "M.S., LMHC, LRC, CRC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.