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SUSETTE ABBAS LPCC
NPI 1720679194
Counselor - Professional in Hawthorne, CA

Active since January 28, 2021PECOS Enrolled
4604 W 131ST ST, HAWTHORNE, CA 90250(310) 698-2802 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susette Abbas Lpcc NPPES

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

SUSETTE ABBAS LPCC (NPI 1720679194) is an individual professional provider in Hawthorne, California, licensed in California (LPCC1003) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Venice, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1720679194
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSUSETTE ABBASCredential: LPCC
Location Address4604 W 131ST STHawthorne, CA 90250-5107
Mailing Address4604 W 131st StHawthorne, CA 90250-5107 · (310) 698-2802
Phone(310) 698-2802
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 28, 2021
NPPES CertifiedJanuary 28, 2021
✔ NPI 1720679194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · LPCC1003
4604 W 131ST ST, Hawthorne, CA 90250
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Other Names 1

Former Name (1)Susette Rodriguez Lpcc

Secondary Practice Location 1

Location 12469 Lincoln BlvdVenice, CA 90291-5040 · Phone (310) 698-2802

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susette Abbas Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597232058
PECOS Enrollment IDI20260422001636
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.

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 Susette Abbas's NPI number?

The NPI number for Susette Abbas is 1720679194. It was assigned to this individual provider in the NPPES registry on January 28, 2021. The provider is also known as Susette Rodriguez Lpcc.

Where is Susette Abbas located?

Susette Abbas practices at 4604 W 131st St, Hawthorne, CA 90250. The listed phone number is (310) 698-2802.

What is Susette Abbas's specialty?

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

Is Susette Abbas enrolled in Medicare?

Yes. Susette Abbas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susette Abbas was last updated on January 28, 2021. 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.