Active NPI
Suzanne Lancaster, LMFT
- Marriage & Family Therapist
- Louisville, KY
National Provider Identifier
1891402640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 281350
- Practice address
- 4010 Dupont Cir Ste 202
Louisville, KY 40207-4847 - Phone
- (502) 326-3011
- NPI assigned
- Nov 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 281350 | KY | Primary |
Addresses
Primary practice location
4010 Dupont Cir Ste 202
Louisville, KY 40207-4847
Mailing address
4010 Dupont Cir Ste 202
Louisville, KY 40207-4847
Phone (508) 326-3011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230221003050 | KY | Practitioner - Clinical Social Worker | 8921470915 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hagan Health LLC
Practice addresses (Care Compare)
4010 Dupont Cir
Suite 202
Louisville, KY 40207-4847
Phone (502) 326-3011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 281350 | KY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hagan Health LLC | Marriage & Family Therapist | Current | Accepting new patients |
| Terry M. Hagan MD | Marriage & Family Therapist | Current | Accepting new patients |
Locations
4010 DuPont Cir
Ste 202
Louisville, KY 40207
Phone (502) 326-3011
Organizations & group practices 2
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": "1667260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1891402640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 DUPONT CIR STE 202",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074847",
"telephone_number": "508-326-3011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 DUPONT CIR STE 202",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074847",
"telephone_number": "502-326-3011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANCASTER",
"first_name": "SUZANNE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-01",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KY",
"license": "281350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.