KYLE SUSSENBACH
NPI 1033970231
Marriage & Family Therapist in Tucker, GA
About Kyle Sussenbach NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE SUSSENBACH (NPI 1033970231) is an individual marriage & family therapist in Tucker, Georgia, licensed in Georgia (MFT001893) and active in the NPI registry since January 2024. He has opted out of Medicare through April 25, 2028.
NPPES Registry Identity
Specialties & Licenses
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kyle Sussenbach has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 25, 2024 through April 25, 2028.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kyle Sussenbach's NPI number?
The NPI number for Kyle Sussenbach is 1033970231. It was assigned to this individual provider in the NPPES registry on January 16, 2024.
Where is Kyle Sussenbach located?
Kyle Sussenbach practices at 565 Maribee Dr, Tucker, GA 30084. The listed phone number is (678) 534-3824.
What is Kyle Sussenbach's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Kyle Sussenbach enrolled in Medicare?
No. Kyle Sussenbach has opted out of Medicare through April 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Kyle Sussenbach was last updated on January 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
