SUSAN REGAN (NPI# 1497221204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497221204 |
| Entity Type | Individual |
| Full Name | SUSAN REGAN |
| Practice Address |
1790 30th St Ste 305 Boulder CO 80301-1020 |
| Practice Telephone | 3034472038 |
| Mailing Telephone | 3034472038 |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336524768 | Susan Regan | Specialist | 145 Huguenot St, 4th Flr., Ste. 404, New Rochelle, NY 10801-5200 | 2015-07-27 |
| 1033245618 | Susan Jane Regan | Psychologist | 94 Pleasant St, Arlington, MA 02476-6535 | 2007-02-26 |
| 1780730879 | Susan Regan | Counselor | 999 Sutter St, San Francisco, CA 94109-6023 | 2007-01-25 |
| 1033146535 | Susan Margaret Regan | Social Worker | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2006-06-28 |
| Street Address |
1790 30TH ST STE 305 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528336823 | Singer Group, Inc. | Community/Behavioral Health | 1790 30th St Ste 305, Boulder, CO 80301-1020 | 2011-12-01 |
| 1780247569 | Ellie Kraus | Social Worker | 1790 30th St Ste 305, Boulder, CO 80301-1020 | 2019-04-17 |
| 1245708734 | Rangeview Group, LLC | Substance Abuse Rehabilitation Facility | 1790 30th St Ste 305, Boulder, CO 80301-1020 | 2018-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063917862 | Amber Ivanova | Counselor | 2525 13th St Ste 200, Boulder, CO 80304-4104 | 2018-03-26 |
| 1326586116 | Alicia Hagge | Counselor | 3050 Broadway St Unit 3, Boulder, CO 80304-3154 | 2017-02-01 |
| 1811351091 | Ashlee Ackelson | Counselor | 5277 Manhattan Cir Ste 114, Boulder, CO 80303-8200 | 2016-04-13 |
| 1831597244 | Annemarie Curran Prairie | Counselor | 2505 Walnut St., Ste 303, Boulder, CO 80302 | 2014-12-17 |
| 1326453341 | Rhae Birmingham | Counselor | 1634 Walnut St Ste 221, Boulder, CO 80302-5400 | 2014-06-27 |
| 1467867952 | John Mccollum | Counselor | 3450 Broadway, Boulder, CO 80304-1899 | 2014-06-24 |
| 1871908244 | Robert Emmer | Counselor | 3450 Broadway St., Boulder, CO 80304-1899 | 2014-06-24 |
| 1316352958 | Alexis Mitsuko Kamakanoe Ornellas | Counselor | 2635 Mapleton Ave Lot 24, Boulder, CO 80304-3828 | 2014-06-23 |
| 1538580261 | Natsumi Minagawa | Counselor | 1800 30th St Ste 308, Boulder, CO 80301-1026 | 2013-12-24 |
| 1821419904 | Cassandra Field | Counselor | 954 North St Unit 308, Boulder, CO 80304-3420 | 2013-12-17 |
| Find all providers in BOULDER | ||||
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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.