Active NPI
Suzanne Ellen Stewart Palmisano, LPCC LICDC
- Professional Counselor
- Independence, OH
National Provider Identifier
1932280880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E2156
- Practice address
- 6500 Rockside Rd
Suite 390
Independence, OH 44131-2368 - Phone
- (216) 524-2776
- Fax
- (216) 524-2778
- NPI assigned
- Oct 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 841098 | OH | |
| Professional Counselor | 101YP2500X | E2156 | OH | Primary |
Addresses
Primary practice location
6500 Rockside Rd
Suite 390
Independence, OH 44131-2368
Mailing address
6500 Rockside Rd
Suite 390
Independence, OH 44131-2368
Phone (216) 524-2776
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 |
|---|---|---|---|
| 841098 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E2156 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1932280880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 ROCKSIDE RD",
"address_2": "SUITE 390",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312368",
"telephone_number": "216-524-2776",
"fax_number": "216-524-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 ROCKSIDE RD",
"address_2": "SUITE 390",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312368",
"telephone_number": "216-524-2776",
"fax_number": "216-524-2778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART PALMISANO",
"first_name": "SUZANNE",
"middle_name": "ELLEN",
"credential": "LPCC LICDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "841098",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E2156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.