SUSAN B COONROD (LPCC LICDC) – Mental Health Counselor, NPI 1366527087

SUSAN B COONROD (LPCC LICDC) is a healthcare provider. based in Canfield, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC LICDC. They hold a License No. 981163 (OH). The NPI Number for SUSAN B COONROD (LPCC LICDC) is 1366527087

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN B COONROD (LPCC LICDC)
NPI
1366527087
Phone
(330) 717-3694
Address
420 MILLBROOK ST
Enumeration Date
25 October 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3302703040
Graduation Year
1993 (33 years ago)
PAC ID
9234572660
Group Practice PAC ID
3779532262
Professional Enrollment ID
I20240213001215
Address ID
OH444069385CA3649XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:19State licenses:2Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

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Provider Addresses for SUSAN B COONROD (LPCC LICDC)

  • 420, Millbrook Street, Briarcliff Heights, Canfield, Mahoning County, Ohio, 44406, United States

    CANFIELD, OH 444069621

    Phone: (330) 717-3694

    Type: Mailing

  • 3528, Canfield Road, Maple Heights, Kirkmere, Youngstown, Mahoning County, Ohio, 44511, United States

    SUITE C

    YOUNGSTOWN, OH 445112779

    Phone: (330) 270-3040

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240213001215IMental Health CounselorOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44406)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779532262View full group profile
NameSpecialtyState
-OH
Mental Health CounselorOH
P S Y C H I A T R YOH
Clinical Social WorkerOH
Certified Clinical Nurse Specialist (Cns)OH
Clinical Social WorkerOH
Mental Health CounselorOH
Mental Health CounselorOH
Certified Clinical Nurse Specialist (Cns)OH
Mental Health CounselorOH

Reviews

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Frequently asked questions

What NPI should I save for SUSAN B COONROD (LPCC LICDC)?
Save NPI 1366527087 if you need a stable reference for SUSAN B COONROD (LPCC LICDC).
Is SUSAN B COONROD (LPCC LICDC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is SUSAN B COONROD (LPCC LICDC)?
The page reflects Mental Health Counselor for SUSAN B COONROD (LPCC LICDC). Clinical services aligned with this taxonomy classification.
Does SUSAN B COONROD (LPCC LICDC) practice in Ohio?
You will see Canfield, Ohio on file for SUSAN B COONROD (LPCC LICDC) alongside any extra practice locations.
Is SUSAN B COONROD (LPCC LICDC) a real provider?
This page reflects official NPPES data for NPI 1366527087. Always confirm identity and privileges with the practice and licensing boards.

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