Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346260072 Individual Practitioner Male Practitioner

Thomas J. Supan , LPCC

Counselor - Professional • Garfield Heights, OH

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Thomas Supan, LPCC is a certified Counselor - Professional practicing in Garfield Heights, OH. With approximately 22 years of clinical experience since completing medical education in 2004, Thomas Supan delivers high-quality medical care to the local community at 12300 MCCRACKEN RD.

Thomas Supan does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12300 Mccracken Rd

Garfield Heights, OH 441252914

Telephone 2165878350
Fax 2165878646
Associated Practice Facility / Clinic
🏢 Marymount Hospital, Inc. Facility NPI 1720031131

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Garfield Heights, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs Matches City Avg
City Avg: 22.0 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
7 Specialists

Practicing in Garfield Heights, OH (6923 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
90.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Supan (22 Years) 22 Yrs
Garfield Heights Specialty Average (22.0 Years) 22.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90791 Psychiatric diagnostic evaluation
19 19 $1248.00 $124.08

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E-988

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Buckeye Health Plan
741000 (OH)
Commercial Insurance / Payer ID Aetna
7745428 (OH)
Commercial Insurance / Payer ID Wellcare Health Plan
353306 (OH)
Commercial Insurance / Payer ID Summacare Health Plan
T00988 (OH)
Commercial Insurance / Payer ID Anthem Blue Cross Pin
000000216098 (OH)
Commercial Insurance / Payer ID Unicare
000000216098 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Jung El-Mallawany , MD

Psychiatry & Neurology - Psychiatry

NPI 1265465488

Doctor of Medicine (M.D.)

Dr. Amir Jassani , PhD

Psychologist - Clinical

NPI 1396763231

Doctor of Philosophy (Ph.D.)

Dr. Thomas Mick , MD

Internal Medicine - Sports Medicine

NPI 1639266679

Doctor of Medicine (M.D.)

Dr. William Ajayi , PhD

Psychologist - Clinical

NPI 1649672148

Doctor of Philosophy (Ph.D.)

Elaine Velka , LISW

Social Worker - Clinical

NPI 1720179468

Licensed Independent Social Worker

Lorraine Durkalski , LPCC

Counselor - Professional

NPI 1740371806

Licensed Professional Clinical Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 14, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 14, 2008

Registered at 12300 MCCRACKEN RD, GARFIELD HEIGHTS, OH 441252914 (Tel: 2165878350)

📍
Updated Business Mailing Address May 14, 2008

Registered at 12300 MCCRACKEN RD, GARFIELD HEIGHTS, OH 441252914 (Tel: 2165878350)

👤
Provider Name / Credentials Updated May 14, 2008

Recorded as THOMAS SUPAN, LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2008

Counselor (License #E-988 in OH)

🟢
Initial NPI Registration & Enumeration July 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Thomas Supan. Be the first to share your experience!

Sign in to leave a review for Thomas Supan

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1346260072
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2006
Last Update: May 14, 2008
Sole Proprietor: No

Mailing Address

12300 Mccracken Rd

Garfield Heights, OH 441252914

Phone: 2165878350

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.