Individual provider Active NPI

Susan J Cardwell, LPC, MA

  • Counselor
  • Wichita Falls, TX
National Provider Identifier
1902941651
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
19099 Issued in TX
Practice address
2304 Midwestern Parkway
Suite 103a
Wichita Falls, TX 76308-2342
Phone
(940) 691-1267
Fax
(940) 691-1582
NPI assigned
Feb 20, 2007
Last updated
Jul 23, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 19099 TX Primary

Addresses

Primary practice location

2304 Midwestern Parkway
Suite 103a
Wichita Falls, TX 76308-2342

Mailing address

2304 Midwestern Parkway
Suite 103a
Wichita Falls, TX 76308-2342
Phone (940) 691-1267

Other identifiers 2

IdentifierTypeStateIssuer
168147001MedicaidTX
84473LOtherTXBLUE CROSS ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 22, 2026 through Feb 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
19099TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Frame of Mind Counseling PLLC Past Accepting new patients
Sjcardwell Counseling & Consulting, PLLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1902941651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 MIDWESTERN PARKWAY",
            "address_2": "SUITE 103A",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082342",
            "telephone_number": "940-691-1267",
            "fax_number": "940-691-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 MIDWESTERN PARKWAY",
            "address_2": "SUITE 103A",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082342",
            "telephone_number": "940-691-1267",
            "fax_number": "940-691-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDWELL",
        "first_name": "SUSAN",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LPC, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "19099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168147001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID NUMBER",
            "identifier": "84473L",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.