MS. SUZANNE KOCH ECKENRODE M.F.T.
NPI 1124279617
Counselor - Mental Health in San Diego, CA
About Ms. Suzanne Koch Eckenrode M.f.t. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SUZANNE KOCH ECKENRODE M.F.T. (NPI 1124279617) is an individual mental health provider in San Diego, California, licensed in California (MFC43046) and active in the NPI registry since October 2008. She has opted out of Medicare through January 1, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Ms. Suzanne Koch Eckenrode M.f.t. 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 January 1, 2024 through January 1, 2028.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92116
SAN DIEGO, CA 92116
SAN DIEGO, CA 92116
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 Suzanne Eckenrode's NPI number?
The NPI number for Suzanne Eckenrode is 1124279617. It was assigned to this individual provider in the NPPES registry on October 2, 2008.
Where is Suzanne Eckenrode located?
Suzanne Eckenrode practices at 5100 Marlborough Dr, San Diego, CA 92116. The listed phone number is (619) 405-6180.
What is Suzanne Eckenrode's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Suzanne Eckenrode enrolled in Medicare?
No. Suzanne Eckenrode has opted out of Medicare through January 1, 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 Suzanne Eckenrode was last updated on October 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Suzanne Koch Eckenrode, M.F.T. · NPI 1124279617
Mental Health provider in San Diego, California. Individual provider, active in the CMS NPPES registry since October 2, 2008.
## Identity
- **NPI:** 1124279617 (Entity type: Individual)
- **Enumerated:** October 2, 2008
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MFC43046 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5100 MARLBOROUGH DR, San Diego, CA 92116-2020
- **Phone:** (619) 405-6180
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** October 2, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1124279617) · Data from the CMS NPPES public registry.