SUSAN A SERUBY LCSW
NPI 1245399047
Counselor - Mental Health in Fresno, CA
About Susan A Seruby Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN A SERUBY LCSW (NPI 1245399047) is an individual mental health provider in Fresno, California, licensed in California (15296) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susan A Seruby Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Susan Seruby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Susan Seruby's NPI number?
The NPI number for Susan Seruby is 1245399047. It was assigned to this individual provider in the NPPES registry on December 7, 2006.
Where is Susan Seruby located?
Susan Seruby practices at 4785 N 1st St Fl 2, Fresno, CA 93726. The listed phone number is (559) 448-4939.
What is Susan Seruby's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Susan Seruby enrolled in Medicare?
Yes. Susan Seruby is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Susan Seruby's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Seruby reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Seruby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Susan Seruby was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Susan A Seruby, LCSW · NPI 1245399047
Mental Health provider in Fresno, California. Individual provider, active in the CMS NPPES registry since December 7, 2006.
## Identity
- **NPI:** 1245399047 (Entity type: Individual)
- **Enumerated:** December 7, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 15296 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4785 N 1ST ST FL 2, Fresno, CA 93726-0513
- **Phone:** (559) 448-4939
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1245399047) · Data from the CMS NPPES public registry.