SUSAN ILEANA LINDSTROM
NPI 1275814451
Counselor in Salisbury, MD

Q: What is Susan Lindstrom's NPI number?

The NPI number for Susan Lindstrom is 1275814451. It was assigned to this individual provider in the NPPES registry on September 1, 2011.

Q: What is Susan Lindstrom's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: Is Susan Lindstrom enrolled in Medicare?

No. Susan Lindstrom has opted out of Medicare through July 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Susan Lindstrom was last updated on September 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since September 01, 2011Opted out of Medicare · through Jul 17, 2027

2336 GODDARD PKWY, SALISBURY, MD 21801(410) 334-6961(410) 334-6362 Get Directions Write a Review

NPPES record last updated: September 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Susan Ileana Lindstrom NPPES

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

SUSAN ILEANA LINDSTROM (NPI 1275814451) is an individual counselor in Salisbury, Maryland and active in the NPI registry since September 2011. She has opted out of Medicare through July 17, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1275814451

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameSUSAN ILEANA LINDSTROM

Location Address2336 GODDARD PKWYSalisbury, MD 21801-1126

Mailing Address2336 Goddard PkwySalisbury, MD 21801-1126 · (410) 334-6961 · Fax (410) 334-6362

Phone(410) 334-6961

Fax(410) 334-6362

Sole ProprietorNo

Enumeration DateSeptember 1, 2011

✔ NPI 1275814451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2336 GODDARD PKWY, Salisbury, MD 21801

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Other Identifiers 2

Medicaid609550002MD

Medicaid609550001MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Susan Ileana Lindstrom 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 July 17, 2019 through July 17, 2027.

Opt-Out Effective DateJuly 17, 2019

Opt-Out In Effect ThroughJuly 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

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