Susan Diane Fee, LICENSED PROFESSIONA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C0007857 Issued in OH

Practice address

5475 Liberty Avenue
Vermilion, OH 44089

Phone

(440) 963-0402

Fax

(440) 963-4018

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 12, 2024 through Feb 12, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861599755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 ST LAWRENCE CIRCLE",
            "city": "SAFAMORE HILLS",
            "state": "OH",
            "postal_code": "440671175",
            "telephone_number": "330-908-3840",
            "fax_number": "330-908-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 LIBERTY AVENUE",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "44089",
            "telephone_number": "440-963-0402",
            "fax_number": "440-963-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEE",
        "first_name": "SUSAN",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "LICENSED PROFESSIONA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C0007857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Vermilion, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.