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Deactivated NPI 1588942999 Deactivated / Inactive NPI Female Practitioner

Susanne Avery , LICSW

Counselor • Acton, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Susanne Avery has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 02, 2011
NPI Deactivation Date July 31, 2024
Total Practice Duration ~13 Years of Practice (2011 – 2024)

Professional Overview & Biography Verified Profile Summary

Susanne Avery, LICSW was a registered Counselor practicing in Acton, MA. Throughout an active medical career spanning 13 years, Susanne Avery provided care at the practice location at 422 GREAT ELM WAY until profile deactivation on 2024-07-31.

Practice Location & Contact Primary Location

Practice Address

422 Great Elm Way

Acton, MA 017181023

Telephone 9782637971

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Acton, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
27 Specialists

Practicing in Acton, MA (9162 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
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NPI Profile Deactivated July 31, 2024

Record deactivated on July 31, 2024

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Updated Business Mailing Address July 21, 2022

Registered at 422 GREAT ELM WAY, ACTON, MA 017181023 (Tel: 7818623600)

NPI Profile Active August 18, 2017

NPI status registered as active in NPPES database

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Updated Business Mailing Address August 18, 2017

Registered at 422 GREAT ELM WAY, ACTON, MA 01718 (Tel: (781) 862-3600)

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Updated Practice Location August 18, 2017

Registered at 422 GREAT ELM WAY, ACTON, MA 017181023 (Tel: 9782637971)

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Provider Name / Credentials Updated August 18, 2017

Recorded as SUSANNE AVERY, LICSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2017

Counselor

NPI Profile Active September 02, 2014

NPI status registered as active in NPPES database

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Updated Practice Location September 02, 2014

Registered at 422 GREAT ELM WAY, ACTON, MA 017181023 (Tel: 9782637971)

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Updated Business Mailing Address September 02, 2014

Registered at 422 GREAT ELM WAY, ACTON, MA 017181023 (Tel: 9788444684)

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Provider Name / Credentials Updated September 02, 2014

Recorded as SUSANNE AVERY, LICSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2014

Counselor

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Initial NPI Registration & Enumeration August 02, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588942999
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2011
Last Update: September 02, 2014
Deactivation Date: July 31, 2024

Mailing Address

422 Great Elm Way

Acton, MA 017181023

Phone: 9788444684

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.