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MS. SUZANNE MARIE ETHERIDGE MFT
NPI 1205931912
Marriage & Family Therapist in Laguna Hills, CA

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
23272 MILL CREEK DR, #150, LAGUNA HILLS, CA 92653(949) 829-3945(714) 669-1237 Get Directions Write a Review

NPPES record last updated: March 22, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Ms. Suzanne Marie Etheridge Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SUZANNE MARIE ETHERIDGE MFT (NPI 1205931912) is an individual marriage & family therapist in Laguna Hills, California, licensed in California (MFC40453) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1205931912
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. SUZANNE MARIE ETHERIDGECredential: MFT
Location Address23272 MILL CREEK DR, #150Laguna Hills, CA 92653-1641
Mailing Address23272 Mill Creek Dr, #150Laguna Hills, CA 92653-1641 · (949) 829-3945 · Fax (714) 669-1237
Phone(949) 829-3945
Fax(714) 669-1237
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 14, 2006
Last NPPES UpdateMarch 22, 2013
✔ NPI 1205931912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFC40453
Definition
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.
23272 MILL CREEK DR, Laguna Hills, CA 92653
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Suzanne Marie Etheridge Mft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890203988
PECOS Enrollment IDI20250731002683
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYMPH BRIGHT
Massage Therapist
23272 MILL CREEK DR
LAGUNA HILLS, CA 92653
Orange County (949) 903-0535
MARCIA R ROY LCSW
Social Worker (Clinical)
23272 MILL CREEK DR, #150
LAGUNA HILLS, CA 92653
Orange County (949) 436-6363

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 Etheridge's NPI number?

The NPI number for Suzanne Etheridge is 1205931912. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Suzanne Etheridge located?

Suzanne Etheridge practices at 23272 Mill Creek Dr #150, Laguna Hills, CA 92653. The listed phone number is (949) 829-3945.

What is Suzanne Etheridge's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Suzanne Etheridge enrolled in Medicare?

Yes. Suzanne Etheridge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Suzanne Etheridge was last updated on March 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.