| Mrs Susan Allen Ponton, | |
|
501 N Mecklenburg Ave, South Hill, VA 23970-2024 | |
| (434) 447-7447 | |
| (434) 447-3057 |
| Full Name | Mrs Susan Allen Ponton |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 501 N Mecklenburg Ave, South Hill, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588672893 | NPI | - | NPPES |
| 010030692 | Medicaid | VA | |
| 54-1977426 | Other | VA | FEIN (SUB-S ) |
| 86353M | Other | VA | SENTARA PROVIDER NUMBER |
| 104658 | Other | VA | ANTHEM PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0701003560 (Virginia) | Primary |
| Entity Name | Susan A Ponton Therapist, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386805463 PECOS PAC ID: 7810413523 Enrollment ID: O20250425000547 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Susan Allen Ponton, Po Box 809, South Hill, VA 23970-0809 Ph: (434) 447-7447 | Mrs Susan Allen Ponton, 501 N Mecklenburg Ave, South Hill, VA 23970-2024 Ph: (434) 447-7447 |
Prof. Judith Thorpe Shepherd, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 815 Lees Ct, South Hill, VA 23970 Phone: 434-447-5980 | |
Margaret Carolyn Ward-thompson, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 924 W Atlantic St, South Hill, VA 23970 Phone: 434-447-3566 | |
Ms. Emma L Short, LPC, CSOTP Counselor Medicare: Medicare Enrolled Practice Location: 514 E Atlantic St, South Hill, VA 23970 Phone: 434-949-6360 | |
Latonya Fleming, BA/ QMHP-A/C Counselor Medicare: Not Enrolled in Medicare Practice Location: 3661 Plank Rd, South Hill, VA 23970 Phone: 252-673-9771 | |
Miss Ginger Nicole Freeman, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 Chaptico Rd, South Hill, VA 23970 Phone: 434-233-1701 | |
Ms. Tina Louise Bracey, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 South Hill Avenue, South Hill, VA 23970 Phone: 434-584-9434 Fax: 888-722-4701 | |
Brittany A Ponton, LPC Counselor Medicare: Medicare Enrolled Practice Location: 501 N Mecklenburg Ave, South Hill, VA 23970 Phone: 434-447-7447 |