SUSAN C WENTZELL (NPI# 1346496791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346496791 |
| Entity Type | Individual |
| Full Name | SUSAN C WENTZELL |
| Credential | MED, LPC |
| Practice Address |
1008 Howard Ave Biloxi MS 39530-3748 |
| Practice Telephone | 2283747854 |
| Practice Fax Number | 2283747855 |
| Mailing Telephone | 2283747854 |
| Mailing Fax Number | 2283747855 |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2012-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1358 | MS | Behavioral Health & Social Service Providers |
| Street Address |
1008 HOWARD AVE |
| City | BILOXI |
| State | MS |
| Zip Code | 39530-3748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588158125 | Gulf Coast Anesthesia Associates | Anesthesiology | 147 Reynoir St Ste 305, Biloxi, MS 39530 | 2018-06-18 |
| 1326486804 | Pavilion Personal Care LLC | In Home Supportive Care | 1450b Beach Blvd, Biloxi, MS 39530 | 2013-06-06 |
| 1366707713 | Makeva K Reed | Nurse Practitioner | 321 Division St, Biloxi, MS 39530 | 2012-07-11 |
| 1174833602 | Keith Edward Earley Jr. | Ophthalmology | 301 Fisher Ave, Keesler Afb, MS 39530 | 2010-10-18 |
| 1730406729 | Alexander H. Nguyen | Surgery | 4503 M St, Biloxi, MS 39530 | 2010-04-29 |
| 1881891265 | Tina Fleming Mcgrew | Nurse Practitioner | 321-b Divison Street, Biloxi, MS 39530 | 2007-06-29 |
| 1285857623 | South Mississippi Nephrology, Pllc | Internal Medicine | 784 Vieux Marche, Biloxi, MS 39530 | 2007-04-11 |
| 1164573515 | Keith G Goodfellow | Obstetrics & Gynecology | 147 Reynoir St Ste 105, Biloxi, MS 39530 | 2007-01-14 |
| 1871640292 | Doreen Brock | Nurse Practitioner | 1046 Division Street, Biloxi, MS 39530 | 2007-01-05 |
| 1922069715 | Garvin Wallace Cunningham | Dentist | 683 Division St, Biloxi, MS 39530 | 2006-03-31 |
| Find all providers in zip 39530 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447885264 | A Timely Word | Counselor | 770 Water St Ste 422, Biloxi, MS 39530-4220 | 2020-03-12 |
| 1811483282 | Jessamyn Loomis Hogue | Counselor | 2429 Regency Dr, Biloxi, MS 39532-3025 | 2018-07-09 |
| 1003346784 | Karen Joan Hampton | Counselor | 296 Beauvoir Rd # 319, Biloxi, MS 39531-4051 | 2017-06-15 |
| 1346775863 | Kristine D Wilson | Counselor | 15256 Three Rivers Rd, Biloxi, MS 39532-8066 | 2017-04-21 |
| 1700237039 | Live and Learn Inc. | Counselor | 353 Bells Ferry Dr, Biloxi, MS 39531-2258 | 2016-06-28 |
| 1366646309 | Christopher Paul Ras | Counselor | 1907 Pass Rd Ste G, Biloxi, MS 39531-4101 | 2007-06-13 |
| 1730273335 | Theresa Flanagan Fordham | Counselor | 1636 Popps Ferry Rd Ste 116, Biloxi, MS 39532 | 2006-10-03 |
| 1356443121 | Dewey Dewayne Watkins | Counselor | 2620 Executive Pl, Biloxi, MS 39531 | 2006-09-02 |
| 1952915423 | Emily Hart | Counselor | 250 Beauvoir Rd Ste 3, Biloxi, MS 39531-4026 | 2020-09-02 |
| 1174145114 | Larry Joe Carr | Counselor | 250 Beauvoir Rd Ste 3, Biloxi, MS 39531-4026 | 2020-05-13 |
| Find all providers in BILOXI | ||||
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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.