SUSANNAH MARIE WEST (NPI# 1295023711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295023711 |
Entity Type | Individual |
Full Name | SUSANNAH MARIE WEST |
Credential | MSC, LPC |
Practice Address |
2271 Overland Ave Ste 5 Burley ID 83318-2957 |
Practice Telephone | 2086489114 |
Mailing Telephone | 2086789114 |
Enumeration Date | 2011-07-18 |
Last Update Date | 2017-05-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC 6454 | ID | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 1295023711 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457678963 | Susannah West | Counselor | 9102 Maggie Ct, San Antonio, TX 78240 | 2010-04-23 |
Street Address |
2271 OVERLAND AVE STE 5 |
City | BURLEY |
State | ID |
Zip Code | 83318-2957 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245607027 | Megan Burks | Counselor | 2271 Overland Ave Ste 5, Burley, ID 83318-2957 | 2015-08-27 |
1831518976 | Martice Fontes | Marriage & Family Therapist | 2271 Overland Ave Ste 5, Burley, ID 83318-2957 | 2014-04-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902366834 | Pain & Spine Consultants | Clinic/Center | 1344 Hiland Avenue, Ste A, Burley, ID 83318 | 2019-03-25 |
1609335090 | Hurst Medical Pllc | Clinic/Center | 1700 Overland Ave Ste 1, Burley, ID 83318 | 2019-03-15 |
1831654243 | Mini-cassia Hearts 4 Seniors | In Home Supportive Care | 135 East 23rd Drive, Burley, ID 83318 | 2019-02-11 |
1841760493 | Burley Family Dental Pllc | Dentist | 2200 Parke Ave Ste 2, Burley, ID 83318 | 2018-11-27 |
1831634823 | Skye Fahnlander | Occupational Therapy Assistant | 2303 Parke Ave, Burley, ID 83318 | 2016-12-29 |
1285024497 | Albion Valley Health Clinic Inc. | Clinic/Center | 400 West 5th Street, Burley, ID 83318 | 2015-01-26 |
1124372370 | A Plus Solutions Center | Clinic/Center | 2311 Parke Ave. Unit 3, Suite 12, Burley, ID 83318 | 2012-11-08 |
1831442805 | A Plus Solutions Developmental Center LLC | Day Training, Developmentally Disabled Services | 2251 Overland Avenue, Suite Number 5, Burley, ID 83318 | 2012-10-16 |
1619258159 | Keleah Margrete Goldammer | Occupational Therapist | 2303 Parke Avenue, Burley, ID 83318 | 2011-08-29 |
1932490984 | Tamera Chatburn | Counselor | 531 East 5th St., Preferred Child and Family Services, Burley, ID 83318 | 2011-04-26 |
Find all providers in zip 83318 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710503909 | Family Health Services Corporation | Counselor | 700 W 16th St, Burley, ID 83318-1710 | 2020-06-23 |
1922661404 | Family Health Services Corporation | Counselor | 1010 W 17th St, Burley, ID 83318-1746 | 2019-04-19 |
1952847857 | Andrea Gochnour | Counselor | 531 E 5th St, Burley, ID 83318-1469 | 2017-01-16 |
1518326263 | Garrett Condie | Counselor | 1321 Oakley Ave, Burley, ID 83318-1859 | 2016-02-22 |
1396137527 | Natalie Fern Bell | Counselor | 658 Overland Ave Ste 8, Burley, ID 83318-1300 | 2015-02-25 |
1285921643 | Duane Broderick | Counselor | 2311 Parke Ave., Ste. 8, Burley, ID 83350 | 2011-07-06 |
1841307188 | A Plus Solutions | Counselor | 2311 Park Ave, Unit 3 Suite 12, Burley, ID 83318-2170 | 2006-08-24 |
1477106995 | Nancy Manrique | Counselor | 531 E 5th St, Burley, ID 83318-1469 | 2019-07-23 |
1023513777 | Nohemi Vasquez | Counselor | 2223 Overland Ave, Burley, ID 83318-2929 | 2018-03-26 |
1932647542 | Lynne Eppers | Counselor | 531 E 5th St, Burley, ID 83318-1469 | 2017-02-02 |
Find all providers in BURLEY |
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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.