Susan B Coonrod, LPCC LICDC in Youngstown, OH

Susan B Coonrod, LPCC LICDC is a medicare enrolled "Counselor - Mental Health" provider in Youngstown, Ohio. Her current practice location is 3528 Canfield Rd, Suite C, Youngstown, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 270-3040.

Susan B Coonrod is licensed to practice in Ohio (license number E0002342) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366527087.

Contact Information

	Susan B Coonrod, LPCC LICDC
	3528 Canfield Rd, Suite C, Youngstown, OH 44511-2779
	(330) 270-3040
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Susan B Coonrod
Gender	Female
Speciality	Counselor - Mental Health
Location	3528 Canfield Rd, Youngstown, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366527087
Provider Enumeration Date: 10/25/2006
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 9234572660
Enrollment ID: I20240213001215

Medical Identifiers

Medical identifiers for Susan B Coonrod such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366527087	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	981163 (Ohio)	Secondary
101YM0800X	Counselor - Mental Health	E0002342 (Ohio)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Susan B Coonrod allows following entities to bill medicare on her behalf.

Entity Name	Churchill Counseling Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013996271 PECOS PAC ID: 3779532262 Enrollment ID: O20050121000876

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan B Coonrod is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Susan B Coonrod, LPCC LICDC 420 Millbrook St, Canfield, OH 44406-9621 Ph: (330) 717-3694	Susan B Coonrod, LPCC LICDC 3528 Canfield Rd, Suite C, Youngstown, OH 44511-2779 Ph: (330) 270-3040

Reviews and Comments

Counselor in Youngstown, OH

Monique T Brown, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 978 Winona Dr, Youngstown, OH 44511 Phone: 330-716-8999
Evelyn C Clark, LPCC-S Counselor Medicare: Medicare Enrolled Practice Location: 527 N Meridian Rd, Youngstown, OH 44509 Phone: 330-797-0070
Alexis S Mcandrew, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 527 N Meridian Rd, Youngstown, OH 44509 Phone: 330-797-0074
Katalin Bacha, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 527 N Meridian Rd, Youngstown, OH 44509 Phone: 330-797-0074
Samantha A Cross, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 W Chalmers Ave, Youngstown, OH 44511 Phone: 330-797-0070
Jennifer Palumbo, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 310 Churchill Hubbard Rd, Suite A, Youngstown, OH 44505 Phone: 330-759-3040 Fax: 330-759-3070
Eleni N. Gage, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 Belmont Ave, Youngstown, OH 44502 Phone: 330-744-2991 Fax: 330-744-2971

Susan B Coonrod, LPCC LICDC - Medicare Counselor in Youngstown, OH