Individual provider Active NPI

Susan L Stewart, LMFT

  • Marriage & Family Therapist
  • Chambersburg, PA
National Provider Identifier
1992245203
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
166 S Main St # 203
Chambersburg, PA 17201-2532
Phone
(717) 217-3980
Fax
(717) 754-2844
NPI assigned
Mar 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

166 S Main St # 203
Chambersburg, PA 17201-2532

Mailing address

166 S Main St # 203
Chambersburg, PA 17201-2532
Phone (717) 217-3980

Other identifiers 1

IdentifierTypeStateIssuer
14141449OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address susan@wholeandholy.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 22, 2024 through Jan 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whole and Holy Integrative Wellness LLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

166 S Main St
#203
Chambersburg, PA 17201
Phone (717) 217-3980

166 S Main St
Chambersburg, PA 17201
Phone (717) 263-9471

1002 Lititz Pike
Lititz, PA 17543
Phone (267) 304-3333

Organizations & group practices 1

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": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1992245203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 S MAIN ST # 203",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172012532",
            "telephone_number": "717-217-3980",
            "fax_number": "717-754-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 S MAIN ST # 203",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172012532",
            "telephone_number": "717-217-3980",
            "fax_number": "717-754-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14141449",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan@wholeandholy.net",
            "affiliation": "N",
            "endpointDescription": "HIPAA secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "452 Heintzelman Ave",
            "city": "Chambersburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "172011030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.