SUSAN L KOEPNICK (NPI# 1407035959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407035959 |
| Entity Type | Individual |
| Full Name | SUSAN L KOEPNICK |
| Credential | LPC |
| Practice Address |
2311 Park Ave Unit 3 Suite 12 Burley ID 83318-2170 |
| Mailing Address |
323 Wauna Vista Dr Burley ID 83318-3447 |
| Practice Telephone | 2086783555 |
| Practice Fax Number | 2086783556 |
| Mailing Telephone | 2087311711 |
| Mailing Fax Number | 2086783556 |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC-3103 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | STATE OF IDAHO | LPC-3103 | 01 |
| Street Address |
2311 PARK AVE UNIT 3 SUITE 12 |
| City | BURLEY |
| State | ID |
| Zip Code | 83318-2170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841307188 | A Plus Solutions | Counselor | 2311 Park Ave, Unit 3 Suite 12, Burley, ID 83318-2170 | 2006-08-24 |
| 1932688975 | Stephen Reid Beck | Physical Therapist | 2311 Park Ave, Burley, ID 83318-2170 | 2018-08-10 |
| 1710355235 | Mark Lee Dunlap | Acupuncturist | 2311 Park Ave, Suite 5, Burley, ID 83318-2170 | 2015-09-15 |
| 1518369735 | Carol Winn Gonzales | Counselor | 2311 Park Ave, Suite 8, Burley, ID 83318-2170 | 2014-09-18 |
| 1275958613 | Esther Cranney | Counselor | 2311 Park Ave, Unit 3, Burley, ID 83318-2170 | 2014-02-21 |
| 1184969578 | Mary Irene Mcginnis | Social Worker | 2311 Park Ave, Unit 3 Suite 12, Burley, ID 83318-2170 | 2012-12-11 |
| 1598017428 | Jennifer Lee Primrose | Counselor | 2311 Park Ave, Ste 12, Burley, ID 83318-2170 | 2012-10-02 |
| 1861765992 | Mark Steven Nelson | Social Worker | 2311 Park Ave, Unit 2 Suite 8, Burley, ID 83318-2170 | 2012-02-21 |
| 1245540053 | Norman D. Sinclair | Counselor | 2311 Park Ave, Suite 8, Burley, ID 83318-2170 | 2010-10-14 |
| 1609107176 | Lacie Shilo Asher | Nurse Practitioner | 2311 Park Ave, Suite 6, Burley, ID 83318-2170 | 2010-01-23 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1912121963 | Healthy Progression LLC | Counselor | 1334 Miller Ave, Burley, ID 83318 | 2007-04-12 |
| 1467678359 | Healthy Progression LLC | Counselor | 1334 Miller Ave, Burley, ID 83318 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841814 | Bright Beginnings Counseling | Counselor | 113 Rosebud Dr, Rupert, ID 83350-9146 | 2020-11-02 |
| 1962029298 | Kami Roach | Counselor | 155 2nd Ave N Ste 201, Twin Falls, ID 83301-6163 | 2020-07-02 |
| 1457975781 | Nikhail Sinea Maestas | Counselor | 3649 N Lakeharbor Ln, Boise, ID 83703-6913 | 2020-06-02 |
| 1609415199 | Summit Creek Counseling LLC | Counselor | 57 Bannock St, Malad City, ID 83252-1240 | 2019-12-31 |
| 1588202907 | Brianna Dannielle Windhorst | Counselor | 611 Wilson Ave Ste 5, Pocatello, ID 83201-5046 | 2019-12-16 |
| 1972145308 | Sarah Barnes | Counselor | 2068 S Eagle Rd, Meridian, ID 83642-6707 | 2019-10-17 |
| 1023650538 | Sarah Mcdermott | Counselor | 733 N Main St Ste C, Bellevue, ID 83313-6068 | 2019-10-16 |
| 1417598384 | Barton Vandenburg | Counselor | 1001 N 7th Ave, Pocatello, ID 83201-5761 | 2019-10-02 |
| 1932759404 | Stephanie Le Anne Beidman | Counselor | 800 Main St # 11, Lewiston, ID 83501-1838 | 2019-09-17 |
| 1750930277 | Julie Anne Meza | Counselor | 8691 W Mediterranean Ct, Boise, ID 83709-2600 | 2019-09-06 |
| Find all providers with the same taxonomy | ||||
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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.