MRS. SUSAN PATRICIA HARRELL (NPI# 1730320631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730320631 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN PATRICIA HARRELL |
| Credential | LMFT |
| Practice Address |
5999 W State St Ste B Boise ID 83703-5059 |
| Practice Telephone | 2088535095 |
| Practice Fax Number | 2088535125 |
| Mailing Telephone | 2088535095 |
| Mailing Fax Number | 2088535125 |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT-4223 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061366 | Susan J Harrell | Registered Nurse | 11300 Hwy 1033, Denham Springs, LA 70726-7072 | 2020-07-27 |
| 1760775837 | Susan E Harrell | Nurse Practitioner | 10270 N 67 Ave, Suite 106, Glendale, AZ 85302-1005 | 2011-05-24 |
| 1316405798 | Susan Harrell | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-03-05 |
| 1831154103 | Susan Harrell | Pediatrics | 1100 Lake Hearn Dr Ne, Suite 100, Atlanta, GA 30342-1523 | 2006-04-19 |
| 1316925837 | Susan M Harrell | Pediatrics | 1200 Pleasant St, Neonatology, Des Moines, IA 50309-1406 | 2006-01-04 |
| Street Address |
5999 W STATE ST STE B |
| City | BOISE |
| State | ID |
| Zip Code | 83703-5059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083767131 | Kathy Matlock Tidwell | Social Worker | 5999 W State St Ste B, Boise, ID 83703-3039 | 2007-01-20 |
| 1104378595 | Aubrey Nocito | Counselor | 5999 W State St Ste B, Boise, ID 83703-5059 | 2016-11-01 |
| 1215243548 | Kodi Catania Hirst | Social Worker | 5999 W State St Ste B, Boise, ID 83703-5059 | 2010-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386203974 | Dylan Roy | Chiropractor | 5632 W State Street, Boise, ID 83703 | 2019-06-07 |
| 1124476858 | Tidwell Social Work Services and Consulting, Inc. | Community/Behavioral Health | 5999 W. State St., Boise, ID 83703 | 2016-06-03 |
| 1801251244 | Rebecca Lynn Cushing | Massage Therapist | 5909 W. State St, Boise, ID 83703 | 2015-12-30 |
| 1790181675 | Malinda Poe | Counselor | 4440 W Taft St, Boise, ID 83703 | 2014-11-05 |
| 1689079469 | Ashley Harker | Massage Therapist | 5909 W. State St., Boise, ID 83703 | 2014-10-23 |
| 1770987844 | Brick House Recovery | Counselor | 3663 N Lakeharbor Ln, Boise, ID 83703 | 2014-10-17 |
| 1033512538 | Ryan Warburton | Physical Therapist | 2999 N Lakeshore Lane, Ste 120, Boise, ID 83703 | 2014-09-29 |
| 1710386008 | Suzanne Iannaccone | Social Worker | 4090 W State St Ste 221, Boise, ID 83703 | 2014-08-22 |
| 1588092464 | Becky L. Marks | Social Worker | 3858 N. Garden Center Way, Suite 204, Boise, ID 83703 | 2013-10-31 |
| 1700219169 | Pohley Richey | Dietitian, Registered | 6052 W State Street, Boise, ID 83703 | 2013-08-20 |
| Find all providers in zip 83703 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114374014 | Lovena Magalsky | Marriage & Family Therapist | 2918 E Eastgate Dr, Boise, ID 83716-6800 | 2016-05-20 |
| 1386024602 | Gemma Utting | Marriage & Family Therapist | 424 N Mobley Dr, Boise, ID 83712-8137 | 2015-06-02 |
| 1063804292 | Jennifer Marie Lamb | Marriage & Family Therapist | 3350 W Americana Ter Ste 320, Boise, ID 83706-2548 | 2015-02-25 |
| 1619236494 | Maribeth Horan | Marriage & Family Therapist | 3228 E. Rivernest Lane, Boise, ID 83706 | 2012-05-14 |
| 1811266265 | Maureen Elizabeth Clahan | Marriage & Family Therapist | 6126 W State St Ste 109, Boise, ID 83703-2741 | 2011-12-14 |
| 1407154396 | Lisa K Hettenhausen | Marriage & Family Therapist | 8400 W Fairview Ave, Boise, ID 83704-8317 | 2011-03-02 |
| 1023242369 | Marcy Lynn Humphrey | Marriage & Family Therapist | 1524 W Hays St Ste 201, Boise, ID 83702-4035 | 2009-05-13 |
| 1952568503 | Gigi L. Debaun | Marriage & Family Therapist | 716 N Orchard St, Suite A, Boise, ID 83706-2035 | 2008-05-21 |
| 1053510636 | Marci M Danielson | Marriage & Family Therapist | 3350 W Americana Ter, Suite 215, Boise, ID 83706-2521 | 2007-07-13 |
| 1154533164 | Suzanna Marie Tillotson | Marriage & Family Therapist | 1701 N Beach St, #2, Boise, ID 83706-1117 | 2007-05-03 |
| Find all providers in BOISE | ||||
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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.