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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1518203140

Suzanne R. Bautista, NCACII, CADACII is an Addiction (Substance Use Disorder) Counselor in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2012
Specialties on file
5
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Practice location Address checks out

5230 W 10th St
Indianapolis, IN 46224-6906
Phone: (317) 240-2801
Fax: (317) 240-2807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 0973 (IN)
Case Manager/Care Coordinator Taxonomy 171M00000X
Interpreter Taxonomy 171R00000X
Health Educator Taxonomy 174H00000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X

Record details

NPI number1518203140
Entity typeIndividual (Type 1)
GenderFemale
Credentials NCACII , CADACII
Sole proprietorYes
NPI enumeratedDecember 31, 2012
Last updated in NPPESDecember 31, 2012

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