Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Susan Diana Laird , LPCC-S, CDCA

Counselor β€’ Boardman, OH

Active NPI 1619340213 Individual Practitioner Female Practitioner
Practice location in NPPES

6505 Market St
Boardman, OH 44512

Call 3305437472 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6505 Market St

Boardman, OH 44512

Telephone 3305437472
Organization at the Same NPPES Address or Phone
Facial & Aesthetic Plastic Surgery Center, Llc Facility NPI 1821209909

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Boardman and Ohio

9 active clinicians are listed under Counselor with a practice address in Boardman, OH (4,098 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES OH E2374

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES OH 140900
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Amy Brodsky , LISWS

Social Worker

NPI 1255592333

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location June 19, 2018

Registered at 6505 MARKET ST, BOARDMAN, OH 44512 (Tel: 3305437472)

πŸ“
Updated Business Mailing Address June 19, 2018

Registered at 1 PERKINS SQ, AKRON, OH 443081063 (Tel: 3305437472)

βœ…
NPI Profile Active November 04, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 04, 2015

Registered at 2800 SHADY RUN RD, YOUNGSTOWN, OH 445022770 (Tel: 2342288235)

πŸ“
Business Mailing Address (Initial Record) November 04, 2015

Registered at 408 AFTON AVE, BOARDMAN, OH 445122312

πŸ‘€
Provider Name / Credentials (Initial Record) November 04, 2015

Recorded as SUSAN LAIRD, LPCC-S, CDCA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2015

Counselor (license number reported to NPPES: OH E2374)

🟒
Initial NPI Registration & Enumeration November 04, 2015

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1619340213
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2015
Last Update: June 19, 2018
Sole Proprietor: No

Mailing Address

1 Perkins Sq

Akron, OH 443081063

Phone: 3305437472

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.