Individual provider Active NPI

Susan Miller Alexander

  • Mental Health Counselor
  • Berwyn, PA
National Provider Identifier
1922713510
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC014933 Issued in PA
Practice address
95 Howellville Rd
Berwyn, PA 19312-1307
Phone
(610) 647-1431
NPI assigned
Jan 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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 PC014933 PA Primary

Addresses

Primary practice location

95 Howellville Rd
Berwyn, PA 19312-1307

Mailing address

806 Pembroke LN
Wayne, PA 19087-2064
Phone (484) 535-0944

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL staff@daemioncounseling.org

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

State licenses

LicenseStateTypeSpecialty
PC014933PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Daemion Counseling Center PastSince Jan 22, 2023 Accepting new patients
Daemion Counseling Center, Inc. PastSince Jan 22, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1922713510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 PEMBROKE LN",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872064",
            "telephone_number": "484-535-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 HOWELLVILLE RD",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121307",
            "telephone_number": "610-647-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "SUSAN",
        "middle_name": "MILLER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC014933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "staff@daemioncounseling.org",
            "affiliation": "N",
            "address_1": "95 Howellville Rd",
            "city": "Berwyn",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193121307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berwyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.