MRS. SUSAN ANN TILLMAN (NPI# 1427134311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427134311 |
Entity Type | Individual |
Full Name | MRS. SUSAN ANN TILLMAN |
Other Name | MS. SUSYN A. W. TILLMAN |
Credential | MS ED |
Practice Address |
14369 Ridge Rd West Suite 2 Albion NY 14411 |
Mailing Address |
14192 Roosevelt Hwy Waterport NY 14571-9750 |
Practice Telephone | 5856820338 |
Practice Fax Number | 5855897341 |
Mailing Telephone | 5856829740 |
Mailing Fax Number | 5855897341 |
Enumeration Date | 2006-10-31 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | LMHC 1260 | NY | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639330038 | Susan Elizabeth Tillman | Nurse Practitioner | 20925 Professional Plz, Suite 340, Ashburn, VA 20147-3403 | 2008-06-19 |
Street Address |
14369 RIDGE RD WEST SUITE 2 |
City | ALBION |
State | NY |
Zip Code | 14411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720692254 | Sarah Danielle Lefauve | Student in an Organized Health Care Education/Training Program | 14016 Ny-31, Unit 101, Albion, NY 14411 | 2020-09-02 |
1164065447 | Maureen Morrison | Social Worker | 7 Meadowbrook Dr, Albion, NY 14411 | 2019-10-19 |
1659844355 | Abigail Monroe | Student in an Organized Health Care Education/Training Program | Ny-31, Albion, NY 14411 | 2019-01-04 |
1871028472 | Renee Ann Biedlingmaier | Nurse Practitioner | 243 S Main St Ste 105, Albion, NY 14411 | 2017-04-21 |
1215469317 | Sandra Jane Stodola | Physician Assistant | 301 West Avenue, Albion, NY 14411 | 2017-03-29 |
1972959708 | Nys Federation of Growers & Processors' Association, Inc. | Early Intervention Provider Agency | 448 West State Street, Albion, NY 14411 | 2016-05-11 |
1508119884 | Orleans Community Health | Family Medicine | 14789 Rt 31, Albion, NY 14411 | 2012-10-24 |
1003190398 | Jamie Lynn Pritchard | Speech-Language Pathologist | 324 East Avenue, Albion, NY 14411 | 2011-10-05 |
1750682472 | Carrie Collins-reed | Licensed Practical Nurse | 13953 Ridge Rd W, Albion, NY 14411 | 2010-11-11 |
1902130503 | Alice Marie Casson | Licensed Practical Nurse | 14106 Albion - Eagle Harbor Rd, Albion, NY 14411 | 2009-09-29 |
Find all providers in zip 14411 |
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. |
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1396133591 | Yi Hui Chi | Counselor | 101 E Park Dr, Albion, IN 46701-1438 | 2014-12-23 |
1851630495 | Patricia Allin | Counselor | 129 E Main St, Albion, IL 62806-1203 | 2013-02-01 |
1982882866 | South Eastern Illinois Counseling Center Inc | Counselor | 254 S 5th St, Albion, IL 62806-1121 | 2008-02-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902407869 | Elise Morse | Counselor | 47 N 5th St, Hudson, NY 12534-1917 | 2020-11-05 |
1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
1992305031 | Samuel Steinberg | Counselor | 623 Laconia Ave Apt G, Staten Island, NY 10306-5260 | 2020-10-28 |
1679172241 | Ilysa Mitofsky | Counselor | 34 Brook Trl, Greenwood Lake, NY 10925-4209 | 2020-10-23 |
1740888916 | Katie Glynn | Counselor | 254 Franklin St Fl 2, Buffalo, NY 14202-1932 | 2020-10-11 |
1376141655 | Deborah Elaine Ricci | Counselor | 43o Niagara Sq, Buffalo, NY 14202 | 2020-10-09 |
1700483617 | Samantha J Thompson | Counselor | 152 Sutter Ave, Brooklyn, NY 11212-4504 | 2020-10-04 |
1033726047 | Elliot Rosenbaum | Counselor | 121 Station Rd, Great Neck, NY 11023-1720 | 2020-09-24 |
1508472002 | Taylor Durant | Counselor | 3959 Broadway Fl 12, New York, NY 10032-1559 | 2020-09-20 |
1174138622 | Adam M Schutz | Counselor | 8008 135th St Apt 422, Briarwood, NY 11435-1001 | 2020-09-11 |
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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.