SUSAN BURRIS (NPI# 1013542414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013542414 |
| Entity Type | Individual |
| Full Name | SUSAN BURRIS |
| Practice Address |
2615 Edwards St Alton IL 62002-3915 |
| Mailing Address |
902 W Main St West Frankfort IL 62896-2210 |
| Practice Telephone | 6184622331 |
| Practice Fax Number | 6184627160 |
| Mailing Telephone | 6189376483 |
| Mailing Fax Number | 6189371440 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | IL2970 | 05 |
| Street Address |
2615 EDWARDS ST |
| City | ALTON |
| State | IL |
| Zip Code | 62002-3915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033203013 | Mirza S A Baig | Psychiatry & Neurology | 2615 Edwards St, Alton, IL 62002-3915 | 2006-10-03 |
| 1275132300 | Rose Sandt | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-10-20 |
| 1659978211 | Lisa Wood | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-10-07 |
| 1184239253 | Taylor Marks | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-09-15 |
| 1568076008 | Samantha Lynn Parker | Pharmacist | 2615 Edwards St, Suite 102, Alton, IL 62002 | 2020-09-02 |
| 1134732860 | Anya Weber | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-08-24 |
| 1891318259 | Samantha Allen | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-05-20 |
| 1700411782 | Kristina Monetti | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-03-10 |
| 1164057493 | Rebecca Arnold | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-03-06 |
| 1790310399 | Matthew Henderson | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
| 1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
| 1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
| 1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
| 1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
| 1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
| 1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
| 1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
| 1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
| Find all providers in zip 62002 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396036661 | Carol Colley | Counselor | Rural Route 72, Box 219001, Alton, MO 65606 | 2011-04-21 |
| 1265504302 | Mary Elizabeth Phillips | Counselor | 611 W. Delmar, Alton, IL 62002 | 2006-11-14 |
| 1275132300 | Rose Sandt | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-10-20 |
| 1659978211 | Lisa Wood | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-10-07 |
| 1184239253 | Taylor Marks | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-09-15 |
| 1134732860 | Anya Weber | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-08-24 |
| 1891318259 | Samantha Allen | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-05-20 |
| 1700411782 | Kristina Monetti | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-03-10 |
| 1164057493 | Rebecca Arnold | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-03-06 |
| 1790310399 | Matthew Henderson | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-03-04 |
| Find all providers in ALTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.