SUSAN THOMAS MIXON (NPI# 1558647008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558647008 |
| Entity Type | Individual |
| Full Name | SUSAN THOMAS MIXON |
| Credential | M.S., J.D. |
| Practice Address |
108 Rosewood Dr Poteau OK 74953-2232 |
| Practice Telephone | 9186585438 |
| Mailing Telephone | 9186585438 |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
OK | Behavioral Health & Social Service Providers | |
| N | 103TS0200X |
Psychologist Specialization: School |
OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200226970 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518400498 | Susan Mixon | Adult Companion | 1836 Ryderwood Court, Landover, MD 20785 | 2016-11-28 |
| 1548213226 | Susan Pee Mixon | Nurse Practitioner | 2500 North State Street, Department of Medicine Division of Gen Internal Med, Jackson, MS 39216 | 2006-05-17 |
| Street Address |
108 ROSEWOOD DR |
| City | POTEAU |
| State | OK |
| Zip Code | 74953-2232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235644550 | Kim Lynn Mcconnell | Case Manager/Care Coordinator | 907 Grace St., Poteau, OK 74953 | 2017-12-08 |
| 1356889745 | Brenda Stacy | Prevention Professional | 507 Drwey, Potesu, OK 74953 | 2017-02-06 |
| 1639621451 | Sabrina Danielle Minor | Case Manager/Care Coordinator | 15715 Greentop Road, Poteau, OK 74953 | 2016-10-27 |
| 1902352545 | Daniel Jesse Bruesch | Counselor | 600 Oklahoma Ave., Poteau, OK 74953 | 2016-09-01 |
| 1578912465 | Jo Ann Walden | Counselor | 507 Dewey Avenue, Poteau, OK 74953 | 2016-06-10 |
| 1154708477 | Kendal Repass | Specialist/Technologist | 17100 Nail Creek, Poteau, OK 74953 | 2015-05-06 |
| 1669891768 | Jennifer Branscum | Case Manager/Care Coordinator | 22681 Valley View Rd, Poteau, OK 74953 | 2014-04-16 |
| 1437582145 | Kim Loggains | Counselor | 2104 A-n. Broadway, Poteau, OK 74953 | 2013-08-16 |
| 1457783573 | Derek Morris | Counselor | 3111b N. Broadway St., Box 34, Poteau, OK 74953 | 2013-07-31 |
| 1568743177 | Carol Ann Oliver | Counselor | 34183 Country Club Lane, Poteau, OK 74953 | 2011-09-09 |
| Find all providers in zip 74953 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467967612 | Kim Loggains Lpc Pllc | Counselor | 1301 S Broadway Ave Ste 2, Poteau, OK 74953-5268 | 2017-12-11 |
| 1437582145 | Kim Loggains | Counselor | 2104 A-n. Broadway, Poteau, OK 74953 | 2013-08-16 |
| 1487169629 | Jerry Stankewitz M.ed., Lpc Pllc | Counselor | 1301 S Broadway Ave Ste 2, Poteau, OK 74953-5268 | 2017-12-11 |
| 1831508340 | Francine Denise Curnutt | Counselor | 2104 N Broadway St Unit A, Poteau, OK 74953-2538 | 2014-08-08 |
| 1659633964 | Amanda Rae Delt | Counselor | 2104 N Broadway St Unit A, Poteau, OK 74953-2538 | 2012-06-12 |
| 1588953202 | Sandra Kay Lum | Counselor | 900 N Broadway St, Poteau, OK 74953-2617 | 2011-04-04 |
| 1164741062 | Christine Ann Nida | Counselor | 320 Dewey Ave, Poteau, OK 74953-4212 | 2010-05-18 |
| 1346564598 | Tori Lynn White | Counselor | 2104 N Broadway St, Suite A, Poteau, OK 74953-2501 | 2010-03-17 |
| 1952624272 | Kerrie Dee Blair | Counselor | 3111 B N Broadway, Poteau, OK 74953 | 2010-03-02 |
| 1639409378 | Debbie Jean Decker | Counselor | 3111 B N Broadway, Poteau, OK 74953 | 2009-12-31 |
| Find all providers in POTEAU | ||||
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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.