| Miss Ilena Trish Sussman, MA, LMFT | |
|
1000 S Hill Rd, Ventura, CA 93003-4455 | |
| (707) 280-2641 | |
| Not Available |
| Full Name | Miss Ilena Trish Sussman |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1000 S Hill Rd, Ventura, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801955653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 89951 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | 79272 (California) | Primary |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Ilena Trish Sussman, MA, LMFT P.o. Box 2468, Ventura, CA 93002 Ph: (805) 372-0406 | Miss Ilena Trish Sussman, MA, LMFT 1000 S Hill Rd, Ventura, CA 93003-4455 Ph: (707) 280-2641 |
Sarah Jane Barrett Lepore, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2827 Pierpont Blvd, Ventura, CA 93001 Phone: 805-628-2686 | |
Robyn Thelin, AMFT, APCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 790 E Santa Clara St Ste 101a, Ventura, CA 93001 Phone: 805-290-9986 Fax: 805-232-3704 | |
Angelica Moreno Salas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2060 Cameron St, Ventura, CA 93001 Phone: 805-641-5165 | |
Robert Chavez Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 1838 Eastman Ave, Ventura, CA 93003 Phone: 805-289-0120 | |
Kristi Adame, Counselor Medicare: Not Enrolled in Medicare Practice Location: 855 Partridge Dr, Ventura, CA 93003 Phone: 805-477-5100 | |
Shaurie Hurt, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1838 Eastman Ave, Ventura, CA 93003 Phone: 805-289-0120 | |
Jeanette Frutos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1838 Eastman Ave, Suite 100, Ventura, CA 93003 Phone: 805-289-0120 |