SUSAN DENISE BANCROFT LPCC-S, LICDC, LSW
NPI 1720208622
Counselor - Professional in Youngstown, OH

Active since April 26, 2007PECOS Enrolled
4970 BELMONT AVE, YOUNGSTOWN, OH 44505(330) 759-8237 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 13, 2024, Jun 13, 2024, May 13, 2024 (3 updates tracked since 2024).

About Susan Denise Bancroft Lpcc-s, Licdc, Lsw NPPES

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

SUSAN DENISE BANCROFT LPCC-S, LICDC, LSW (NPI 1720208622) is an individual professional provider in Youngstown, Ohio, licensed in Ohio (E.0002756-SUPV) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1720208622
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSUSAN DENISE BANCROFTCredential: LPCC-S, LICDC, LSW
Location Address4970 BELMONT AVEYoungstown, OH 44505-1018
Mailing Address150 E Market StWarren, OH 44481-1141 · (330) 399-6451
Sole ProprietorNo
Enumeration DateApril 26, 2007
Last NPPES UpdateDecember 13, 20243 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
✔ NPI 1720208622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E.0002756-SUPV
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 981149 (OH)
Also ListedSocial WorkerTaxonomy 104100000X · License S 0014236 (OH)
4970 BELMONT AVE, Youngstown, OH 44505

Secondary Practice Locations 5

Location 1150 E Market StWarren, OH 44481-1141 · Phone (330) 399-6451
Location 2527 N Meridian RdYoungstown, OH 44509-1227 · Phone (330) 797-0096 ext. 1124 · Fax (330) 797-9148
Location 35500 Market St Ste 110Youngstown, OH 44512-2616 · Phone (330) 677-4124
Location 4143 Gougler AveKent, OH 44240-2401 · Phone (330) 677-4124
Location 5318 Mahoning Ave NWWarren, OH 44483-4605 · Phone (330) 395-9563

Accepted 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 Denise Bancroft Lpcc-s, Licdc, Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Susan Bancroft reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
4970 BELMONT AVE
Youngstown, OH 44505
  • Reassigned Medicare billing, Ohio enrollment
  • 78 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
150 E MARKET ST
Warren, OH 44481
  • Reassigned Medicare billing, Ohio enrollment
  • 41 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.

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.

Case Manager/Care Coordinator
4970 BELMONT AVE
YOUNGSTOWN, OH 44505
Case Manager/Care Coordinator
4970 BELMONT AVE
YOUNGSTOWN, OH 44505
Social Worker
4970 BELMONT AVE
YOUNGSTOWN, OH 44505
Social Worker (Clinical)
4970 BELMONT AVE
YOUNGSTOWN, OH 44505
Counselor (Professional)
4970 BELMONT AVE
YOUNGSTOWN, OH 44505
Psychiatry & Neurology (Psychiatry)
4970 BELMONT AVE
YOUNGSTOWN, OH 44505
Counselor (Professional)
4970 BELMONT AVE
YOUNGSTOWN, OH 44505
Pharmacy (Clinic Pharmacy)
4970 BELMONT AVE, SUITE A
YOUNGSTOWN, OH 44505

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 Bancroft's NPI number?

The NPI number for Susan Bancroft is 1720208622. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Susan Bancroft located?

Susan Bancroft practices at 4970 Belmont Ave, Youngstown, OH 44505. The listed phone number is (330) 759-8237.

What is Susan Bancroft's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Susan Bancroft enrolled in Medicare?

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

Which organizations bill Medicare for Susan Bancroft's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Bancroft reassigns Medicare benefits to 2 organizations: Axess Family Services Inc (Youngstown, OH) and Family & Community Services Inc (Warren, OH). Each 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 Bancroft's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Bancroft accept?

Health plans from CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Susan Bancroft 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 Bancroft was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.