SUZANNE WALLS (NPI# 1558564807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558564807 |
| Entity Type | Individual |
| Full Name | SUZANNE WALLS |
| Credential | MSRMHC, CRC |
| Practice Address |
1600 S Main St Lebanon OR 97355-3109 |
| Mailing Address |
Po Box 100 Albany OR 97321-0031 |
| Practice Telephone | 5414515392 |
| Mailing Telephone | 5419673866 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2019-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1600 S MAIN ST |
| City | LEBANON |
| State | OR |
| Zip Code | 97355-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720068182 | Carolyn Mae Moore | Social Worker | 1600 S Main St, Lebanon, OR 97355-3109 | 2006-01-20 |
| 1730654237 | Shellany Jean Cushner | Social Worker | 1600 S Main St, Lebanon, OR 97355-3109 | 2018-10-10 |
| 1003329434 | Wendy Hull | Counselor | 1600 S Main St, Lebanon, OR 97355-3109 | 2017-11-07 |
| 1356792428 | Lavanya Kancherla | Social Worker | 1600 S Main St, Lebanon, OR 97355-3109 | 2016-06-29 |
| 1538525431 | Geoffrey Thoma | Counselor | 1600 S Main St, Lebanon, OR 97355-3109 | 2016-01-07 |
| 1265800429 | Melissa Wilson | Social Worker | 1600 S Main St, Lebanon, OR 97355-3109 | 2015-09-04 |
| 1558737866 | Joanna Means | Counselor | 1600 S Main St, Lebanon, OR 97355-3109 | 2015-08-20 |
| 1225456106 | Shylene Larson | Psychologist | 1600 S Main St, Lebanon, OR 97355-3109 | 2014-03-28 |
| 1174941058 | Lisa Burner | Counselor | 1600 S Main St, Lebanon, OR 97355-3109 | 2014-03-28 |
| 1619249158 | Kenneth Mackie | Social Worker | 1600 S Main St, Lebanon, OR 97355-3109 | 2012-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
| 1528609740 | Liana Beaty | Technician | 31231 Mccraven Ln, Lebanon, OR 97355 | 2019-09-30 |
| 1710465323 | Jackie Welter | Health Educator | 35 Mullins Drvie Ste 3, Lebanon, OR 97355 | 2018-08-06 |
| 1518415371 | Kathleen Hillary | Registered Nurse | 525 North Santiam Highway, Lebanon, OR 97355 | 2016-09-21 |
| 1861849283 | Emily Marshall | Student in an Organized Health Care Education/Training Program | 200 Mullins Drive, Lebanon, OR 97355 | 2016-05-16 |
| 1033565551 | Celeste Maxine Croy-baker | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr., Lebanon, OR 97355 | 2016-05-13 |
| 1770956963 | Jeff Parsons | Occupational Therapist | 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 | 2015-11-10 |
| 1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
| Find all providers in zip 97355 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972103497 | Josalyn Lawrence | Counselor | 550 S Main St Ste 105, Lebanon, OR 97355-3335 | 2020-10-26 |
| 1780204966 | Amanda Lynn Nowlin | Counselor | 4065 Hunters Point Pike, Lebanon, TN 37087-1192 | 2020-04-17 |
| 1255971065 | Mari Carter | Counselor | 217 E High St, Lebanon, TN 37087-6702 | 2020-01-09 |
| 1275182081 | Jane F Ilgenfritz | Counselor | 746 Cumberland St, Lebanon, PA 17042-5236 | 2019-09-05 |
| 1265086573 | Eric Stone | Counselor | 5234 Oh-63, Lebanon, OH 45036 | 2019-07-25 |
| 1407381528 | Kari Bump | Counselor | 320 E Silver St, Lebanon, OH 45036 | 2017-04-26 |
| 1861876104 | Claudia Jett | Counselor | 511 Coles Ferry Pike, Lebanon, TN 37087-2209 | 2015-07-16 |
| 1912305160 | Brian Bowden | Counselor | 5 Blacksmith St, Lebanon, NH 03766-1507 | 2014-12-19 |
| 1932511912 | Lauren F Ordner | Counselor | 1220 State Route 31 N, Suite 17, Lebanon, NJ 08833-3237 | 2014-05-27 |
| 1831439223 | Access Intensive Counseling LLC | Counselor | 705 East Main Street, Lebanon, VA 24266 | 2013-02-21 |
| Find all providers in LEBANON | ||||
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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.