Susan Kostenko, M.D.

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

9700622 Issued in NC

Practice address

201 Tabernacle Rd
Black Mountain, NC 28711-2526

Phone

(828) 669-3481

NPI assigned

Mar 23, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1932226073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ELLENWOOD DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288042345",
            "telephone_number": "828-669-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TABERNACLE RD",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287112526",
            "telephone_number": "828-669-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTENKO",
        "first_name": "SUSAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NC",
            "license": "9700622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R. Bruce Kelly, M.D.
• Rachel Kelly, LCAS-A, LCMHC-A
• Cody Kenly, DPT
• Michael Steven Kirtley Jr., LCMHC, LCAS
• Mark Andrew Kleive, DDS
• Christina Joyce Mackenzie Kuetemeyer, NP
• James Thomas Lane, P.T.
• Perry Mendel Lavin, LCMHC LCASA
• Despina Ledford
• Kenneth Taber Lenington, M.D.

• Addiction Psychiatry Physician in Black Mountain, NC
• Providers in Black Mountain, NC by specialty
• Addiction Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.