Suzannah Dichter, LCPC LCPAT
Individual provider Active NPI Professional Counselor · Washington, DC
NPI 1992322689 · NPPES record last updated Jun 29, 2020
Key facts
- NPI
- 1992322689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LC9038 (MD)
- Practice address
- 1240 18TH St NE Apt 4
Washington, DC 20002-2080 - Phone
- (202) 743-5535
- NPI assigned
- Jun 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Senior Care Therapy LCSW of Maryland LLC
Practice addresses (Care Compare)
2700 Barker St
Silver Spring, MD 20910-1001
Phone (973) 264-0023
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241025001679 | MD | Practitioner - Mental Health Counselor | 2365975620 | Reassigns benefits to 1 organization |
| I20241125004384 | DC | Practitioner - Mental Health Counselor | 2365975620 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Care Therapy LCSW of Maryland LLC | Professional | Current |
Accepting new patients |
Locations
2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555
822 Guilford Ave
#1526
Baltimore, MD 21202
Phone (973) 295-6335
2700 Barker St
Silver Spring, MD 20910
Phone (301) 565-0300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC9038 | MD | Yes |
Addresses
Primary practice location
1240 18TH St NE Apt 4
Washington, DC 20002-2080
Mailing address
1240 18TH St NE Apt 4
Washington, DC 20002-2080
Phone (202) 743-5535
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LC9038 | Other | MD | PRIVATE PAY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | desertrosehealingspace@gmail.com | Direct |
Other providers in Washington, DC
- Mercy Dibie Ogbue
- Soraya Diblassio
- Roland Dibo
- Jennifer Juliet Dicanio
- Elissa Dicarlo
- Jernae Dickens-Brown
- Mikea Dickens-Gibson
- Duane Andrew Dickens
- Eleanor Dickens
- Jonathan Frederick Dickens
All providers in Washington, DC · Professional Counselor in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.