SUSAN MEREDITH MACDONALD LMHC
NPI 1689966947
Counselor in Lincoln, RI
- Individual
- Female
- Years of Experience 26
- Counselor
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About SUSAN MACDONALD
This page provides the complete NPI Profile along with additional information for Susan Macdonald, a provider established in Lincoln, Rhode Island with a medical specialization in Counselor and more than 26 years of experience. The healthcare provider is registered in the NPI registry with number 1689966947 assigned on May 2011. The practitioner's primary taxonomy code is 101Y00000X with license number MHC00454 (RI). The provider is registered as an individual and her NPI record was last updated April 2026.
- NPI
- 1689966947 Verify this NPI
- Provider Name
- SUSAN MEREDITH MACDONALD LMHC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 652 GEORGE WASHINGTON HWY UNIT 102 LINCOLN, RI 02865
- Location Phone
- (401) 475-9979
- Location Fax
- (401) 475-9917
- Mailing Address
- 45 SAW MILL DR 8-302 NORTH KINGSTOWN, RI 02852
- Medical School Name
- OTHER
- Graduation Year
- 2001
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-05-2011
- Last Update Date
- 04-08-2026
- Code Navigator
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
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- MHC00454
- License State
- RI
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local HMO Bronze 7500 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local HMO Gold 2000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local HMO Silver 6000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Susan Macdonald is registered with Medicare but may not accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Susan Macdonald 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
PECOS PAC ID: 2567993736
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240930002490
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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 SUSAN MEREDITH MACDONALD LMHC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
LINCOLN, RI 02865
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689966947, enumerated as an "individual" on May 05, 2011.
The provider is located at 652 GEORGE WASHINGTON HWY UNIT 102 LINCOLN, RI 02865 and the phone number is (401) 475-9979.
Counselor with taxonomy code 101Y00000X.
The provider might be accepting Accepts: Harvard Pilgrim Health Care. Please consult your insurance carrier or call the provider to verify.
