Look up the most recent NPI and PECOS records

Susan Cimino

Counselor

Behavioral Health & Social Service Providers

100 Westwoods Dr, Liberty, MO 64068-1181

PECOS Enrollment

Based on the most recent information from CMS, provider Susan Cimino is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1043927601
Provider Type
Individual
Full Name
Cimino, Susan
Gender
Female

Sole Proprietor
No
Enumeration Date
11/3/2022
Last Updated
11/3/2022

Contact Information

Practice Location

100 Westwoods Dr, Liberty, MO 64068-1181

(816) 781-8550

Unlisted Fax

Mailing Location

100 Westwoods Dr, Liberty, MO 64068-1181

(816) 781-8550

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer

Susan Cimino

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Witzki, Shane Matthew

Hennies, Annie

Lottes, Tara

Coulter, Jami A

Back, Deann L.

Tolnai, Heidi Marie

Graves, Jessica Lynn

Witzki, Stacy

Geiger, Herbert Douglas

Davis, Michael James