SUSANNE COLEMAN (NPI# 1376190462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376190462 |
| Entity Type | Individual |
| Full Name | SUSANNE COLEMAN |
| Practice Address |
2075 Jordan Ave Juneau AK 99801-8095 |
| Mailing Address |
9223 Long Run Dr Juneau AK 99801-8805 |
| Practice Telephone | 9077897610 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073059788 | Susanne Terri Coleman | Marriage & Family Therapist | 3455 Ne 12th Ter Ste 9, Oakland Park, FL 33334-4534 | 2017-01-19 |
| 1619158763 | Susanne Coleman | Speech-Language Pathologist | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2007-11-16 |
| Street Address |
2075 JORDAN AVE |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-8095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871643411 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2075 Jordan Ave, Juneau, AK 99801-8049 | 2007-01-12 |
| 1770199002 | Connie Lynn Schaaf | Counselor | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2020-09-22 |
| 1497379705 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2020-06-02 |
| 1699312082 | Ashley Hunt | Case Manager/Care Coordinator | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-12-04 |
| 1235775297 | Virginia Plett | Counselor | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-11-25 |
| 1033755020 | Luther Gus Marx | Technician, Other | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-11-25 |
| 1043856370 | Kaitlin Weideman | Technician, Other | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-11-21 |
| 1992341218 | Tiffany Callaway | Technician, Other | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-11-21 |
| 1518503846 | Alissa Harding | Technician, Other | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-11-21 |
| 1205478658 | Harmony Wentz | Technician, Other | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-10-16 |
| Find all providers in the same location | ||||
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1568791671 | Bendick J Didrickson | Counselor | 4300 University Dr, Juneau, AK 99801-8649 | 2009-12-18 |
| 1629241153 | Kimberly Ann Kunz | Counselor | 199 County Rd Df, Juneau, WI 53039 | 2008-04-04 |
| 1316159098 | Catherine Ann Wellwood | Counselor | 3245 Hospital Dr Ste 109, Juneau, AK 99801-7809 | 2007-05-04 |
| 1770197352 | Lara Ann Von | Counselor | 5597 Aisek St, Juneau, AK 99801-9522 | 2020-09-01 |
| 1114569969 | Heather L. Vogel | Counselor | 5597 Aisek Street, Juneau, AK 99801 | 2019-10-14 |
| 1770133811 | Milton Michael Rowcroft | Counselor | 5597 Aisek Street, Juneau, AK 99801 | 2019-09-19 |
| 1659925055 | Bradford Parfitt | Counselor | 5597 Aisek Street, Juneau, AK 99801 | 2019-07-25 |
| 1710530100 | Robert Sharclane | Counselor | 5597 Aisek Street, Juneau, AK 99801 | 2019-07-24 |
| 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.