Individual provider Active NPI

Susan Solstice, LPC

  • Mental Health Counselor
  • Yuma, AZ
National Provider Identifier
1871355784
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
22578 Issued in AZ
Practice address
2851 S Avenue B BLDG 4
Yuma, AZ 85364-7726
Phone
(928) 376-0026
NPI assigned
Jan 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 22578 AZ Primary

Addresses

Primary practice location

2851 S Avenue B BLDG 4
Yuma, AZ 85364-7726

Mailing address

13477 E 43Rd Dr
Yuma, AZ 85367-6239
Phone (928) 261-0603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240426000181 AZ Practitioner - Mental Health Counselor 4183064058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

20 E Thomas Rd
Suite 2200
Phoenix, AZ 85012-3133
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22578AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Intervention Associates, Inc. CurrentSince Feb 20, 2024 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Jan 1, 2026 Accepting new patients
Community Intervention Associates, Inc. Current Accepting new patients
Community Intervention Assciates, Inc CurrentSince Feb 20, 2024 Accepting new patients

Locations

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

2375 N Wyatt Dr
Ste 103
Tucson, AZ 85712
Phone (520) 622-8357

1773 W Saint Marys Rd
Ste 102
Tucson, AZ 85745
Phone (520) 622-8357

2851 S Avenue B
Bldg 4
Yuma, AZ 85364
Phone (928) 919-2436

Organizations & group practices 4

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": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1871355784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13477 E 43RD DR",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853676239",
            "telephone_number": "928-261-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 S AVENUE B BLDG 4",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647726",
            "telephone_number": "928-376-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLSTICE",
        "first_name": "SUSAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "22578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.