Active NPI
Susan Miller Alexander
- Mental Health Counselor
- Berwyn, PA
National Provider Identifier
1922713510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC014933
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PC014933 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daemion Counseling Center | Past | Accepting new patients | |
| Daemion Counseling Center, Inc. | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Berwyn, PA
- NPI 1720350556
-
- Voluntary or Charitable Agency
- Berwyn, PA
- NPI 1003035783
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.