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SUSAN S DOWDEN
NPI 1538761333
Counselor in Eatontown, NJ

Active since November 16, 2020PECOS Enrolled
615 HOPE RD STE 5B, EATONTOWN, NJ 07724(732) 389-0697(732) 389-0611 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susan S Dowden NPPES

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

SUSAN S DOWDEN (NPI 1538761333) is an individual counselor in Eatontown, New Jersey, licensed in New Jersey (37PC00721000) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1538761333
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSUSAN S DOWDEN
Location Address615 HOPE RD STE 5BEatontown, NJ 07724-1273
Mailing Address615 Hope Rd Ste 5bEatontown, NJ 07724-1273 · (732) 389-0697 · Fax (732) 389-0611
Phone(732) 389-0697
Fax(732) 389-0611
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 16, 2020
NPPES CertifiedNovember 16, 2020
✔ NPI 1538761333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NJ · 37PC00721000
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.
615 HOPE RD STE 5B, Eatontown, NJ 07724
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan S Dowden is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527558402
PECOS Enrollment IDI20251107004238
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.

Medicare Billing Reassignment

Medicare enrollment records show Susan Dowden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integrated Care Concepts & Consultation, LLC
Same address
Professional
615 HOPE RD, BUILDING 1B, SECOND FLOOR
Eatontown, NJ 07724
  • Reassigned Medicare billing, New Jersey enrollment
  • 23 clinicians in this Medicare group
NPI 1639236516 (732) 389-0697

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 15

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

INTEGRATED PSYCHIATRIC SERVICES LLC
Psychiatry & Neurology (Psychiatry)
615 HOPE RD STE 5B
EATONTOWN, NJ 07724
Monmouth County (732) 858-5432
BIANCA CHABLA LSW
Social Worker
615 HOPE RD STE 5B
EATONTOWN, NJ 07724
Monmouth County (732) 389-0697
MRS. MARGARET BRANDO LSW, RYT
Social Worker
615 HOPE RD STE 5B
EATONTOWN, NJ 07724
Monmouth County (732) 389-0697
MARY LUGLI MA, LAC
Counselor (Mental Health)
615 HOPE RD STE 5B
EATONTOWN, NJ 07724
Monmouth County (732) 858-5432
ARIEL BARTER
Counselor (Mental Health)
615 HOPE RD STE 5B
EATONTOWN, NJ 07724
Monmouth County (732) 389-0697
GABRIELLE MARIE RUBINO
Counselor (Mental Health)
615 HOPE RD STE 5B
EATONTOWN, NJ 07724
Monmouth County (732) 719-4859
OLIVIA GOMZ LSW
Social Worker
615 HOPE RD STE 5B
EATONTOWN, NJ 07724
Monmouth County (732) 858-5432
BARBARA ELLEN DOUGHERTY LCSW
Social Worker (Clinical)
615 HOPE RD STE 5B
EATONTOWN, NJ 07724
Monmouth County (732) 858-5432

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 Dowden's NPI number?

The NPI number for Susan Dowden is 1538761333. It was assigned to this individual provider in the NPPES registry on November 16, 2020.

Where is Susan Dowden located?

Susan Dowden practices at 615 Hope Rd Ste 5B, Eatontown, NJ 07724. The listed phone number is (732) 389-0697.

What is Susan Dowden's specialty?

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

Is Susan Dowden enrolled in Medicare?

Yes. Susan Dowden is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Dowden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Dowden reassigns Medicare benefits to Integrated Care Concepts & Consultation, LLC (Eatontown, NJ). 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 Dowden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Dowden accept?

Health plans from Oscar Health list Susan Dowden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Dowden was last updated on November 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.