MS. SUZANNE KOCH ECKENRODE M.F.T.
NPI 1124279617
Counselor - Mental Health in San Diego, CA
- Individual
- Female
- Counselor
- Mental Health
- PECOS Enrolled
- Opted-Out Medicare
About SUZANNE ECKENRODE
This page provides the complete NPI Profile along with additional information for Suzanne Eckenrode, a provider established in San Diego, California with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1124279617 assigned on October 2008. The practitioner's primary taxonomy code is 101YM0800X with license number MFC43046 (CA). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1124279617 Verify this NPI
- Provider Name
- MS. SUZANNE KOCH ECKENRODE M.F.T.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5100 MARLBOROUGH DR SAN DIEGO, CA 92116
- Location Phone
- (619) 405-6180
- Mailing Address
- 20 HOLLYLEAF ALISO VIEJO, CA 92656
- Mailing Phone
- (619) 405-6180
- Mailing Fax
- (949) 362-7914
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-02-2008
- Last Update Date
- 10-02-2008
- Code Navigator
A mental health counselor like Suzanne Eckenrode provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Suzanne Eckenrode opted out of Medicare effective on 01-01-2024 until 01-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- MFC43046
- License State
- CA
Medicare Participation & PECOS Enrollment Status
Suzanne Eckenrode is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2024
Opt-Out End Date: 01-01-2026
Eligible to Order and Refer? No
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for MS. SUZANNE KOCH ECKENRODE M.F.T.
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Other Providers at the Same Location
The following 18 providers are registered at the same or a nearby location.
SAN DIEGO, CA 92116
SAN DIEGO, CA 92116
SAN DIEGO, CA 92116
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124279617, enumerated as an "individual" on October 02, 2008.
The provider is located at 5100 MARLBOROUGH DR SAN DIEGO, CA 92116 and the phone number is (619) 405-6180.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
