| Suzanne Gord, LPCC | |
|
1183 Captains Brg, Centerville, OH 45458-5711 | |
| (937) 554-5441 | |
| Not Available |
| Full Name | Suzanne Gord |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 1183 Captains Brg, Centerville, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164155230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.2505765 (Ohio) | Primary |
| 101YP2500X | Counselor - Professional | C.2204493 (Ohio) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sondermind Provider Network Llc | 9537572490 | 1232 |
| Sondermind Provider Network Llc | 9537572490 | 1232 |
| Entity Name | Cognitive Organics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609493097 PECOS PAC ID: 8325498868 Enrollment ID: O20231227000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne Gord, LPCC 1183 Captains Brg, Centerville, OH 45458-5711 Ph: (937) 554-5441 | Suzanne Gord, LPCC 1183 Captains Brg, Centerville, OH 45458-5711 Ph: (937) 554-5441 |
Sasha N Bongorno, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10861 Yankee St, Centerville, OH 45458 Phone: 216-212-5856 | |
Matthew Richard Keefer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1025 E Centerville Station Rd, Centerville, OH 45459 Phone: 937-742-7516 | |
Ms. Kathy Sowder, LPCC, CCDC, III E Counselor Medicare: Not Enrolled in Medicare Practice Location: 7086 Corporate Way, Centerville, OH 45459 Phone: 937-435-5200 Fax: 937-435-5200 | |
Tiffanie Ann Pinnix, BA LCDC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 E Alex Bell Rd # 100, Centerville, OH 45459 Phone: 937-291-2300 | |
Jill Alane Poppe Mackenzie, JD, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 955 Congress Park Dr, Centerville, OH 45459 Phone: 937-269-3047 | |
Ms. Lora N Firman, PSY. D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Rhoads Center Dr, Centerville, OH 45458 Phone: 937-291-3342 | |
Erica Gad, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 10861 Yankee St, Centerville, OH 45458 Phone: 937-619-0800 |