Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Susan Stewart Philo, EDM

Individual provider Mental Health Counselor · NPI 1821115684

Susan Stewart Philo, EDM is a Mental Health Counselor in Kodiak, Alaska. Qualified in 2001, 25 years ago. Practices with The Emmaus Center, an 8-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
25
Licensed in
AK
In the registry since
2007

Practice location Address checks out

717 E Rezanof Dr
Kodiak, AK 99615-6416
Phone: (907) 481-2400
Fax: (907) 481-2419
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 677 (AK)

Record details

NPI number1821115684
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDM
Sole proprietorNo
NPI enumeratedMarch 24, 2007
Last updated in NPPESMarch 18, 2011
Mailing address414 Mission Rd, Kodiak, AK 99615-6329

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice The Emmaus Center — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kodiak