MS. SUSAN KAY WYLIE (NPI# 1255519203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255519203 |
| Entity Type | Individual |
| Full Name | MS. SUSAN KAY WYLIE |
| Credential | L.P.C. |
| Practice Address |
319 Seward St Suite 10 Juneau AK 99801-1192 |
| Mailing Address |
4014 Ridge Way Juneau AK 99801-9537 |
| Practice Telephone | 9072093976 |
| Practice Fax Number | 9075230438 |
| Mailing Telephone | 9072093976 |
| Mailing Fax Number | 9075230438 |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2014-01-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
471 | AK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942263140 | Susan C Wylie | Dietitian, Registered | 200 Hospital Dr, Drive, Galax, VA 24333-2227 | 2006-04-10 |
| Street Address |
319 SEWARD ST SUITE 10 |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-1192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
| 1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
| Find all providers in zip 99801 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649550443 | Teri Dawn Forst | Counselor | 9578 Whitewater Ct, Juneau, AK 99801-8757 | 2011-08-24 |
| 1922259092 | Tomson Mccabe | Counselor | 319 Seward St Ste 3, Juneau, AK 99801-1173 | 2008-10-07 |
| 1992832596 | G Jamieson Mclean | Counselor | 114 S Franklin St, Suite 207, Juneau, AK 99801-1322 | 2007-02-28 |
| 1174609572 | Colleen Torrence | Counselor | 5750 Glacier Hwy, Bldg D, Suite #12, Juneau, AK 99801-9508 | 2006-10-27 |
| 1568411775 | Saralyn Tabachnick | Counselor | 135 Troy Ave, Juneau, AK 99801-1452 | 2006-05-08 |
| 1619512555 | Dorothy Lynn Squires | Counselor | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2019-11-14 |
| 1306491238 | Kimberly Hearn | Counselor | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-08-07 |
| 1982256731 | Megan R Marsh | Counselor | 9000 Glacier Hwy Ste 202, Juneau, AK 99801-8097 | 2019-07-11 |
| 1104488246 | Tamar Mary Boyd | Counselor | 2231 Jordan Ave, Juneau, AK 99801-8050 | 2019-06-28 |
| 1013485127 | Leslye Ann Galey | Counselor | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2018-11-06 |
| Find all providers in JUNEAU | ||||
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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.