Susan Ellen Tomichek, BA, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2614 Issued in GA

Practice address

1014 Canton St
Roswell, GA 30075-3615

Phone

(770) 993-2676

NPI assigned

Sep 30, 2006

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Master of Science

State licenses

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962595280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 BUCK DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624625",
            "telephone_number": "770-993-2676",
            "fax_number": "770-509-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 CANTON ST",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753615",
            "telephone_number": "770-993-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMICHEK",
        "first_name": "SUSAN",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "BA, MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "2614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Roswell, GA
• Providers in Roswell, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.