SUSAN VEGA (NPI# 1760983589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760983589 |
| Entity Type | Individual |
| Full Name | SUSAN VEGA |
| Credential | MS, LCAS-A |
| Practice Address |
806 Bell Fork Rd Jacksonville NC 28540-6312 |
| Practice Telephone | 9103472205 |
| Mailing Telephone | 9103472205 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |
| 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) |
NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1750821229 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093783862 | Susan Vega | Family Medicine | 8 Country Club Rd, Country Club, MO 64505-1014 | 2006-03-09 |
| Street Address |
806 BELL FORK RD |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28540-6312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750763942 | Jacksonville Treatment Center | Clinic/Center | 806 Bell Fork Rd, Jacksonville, NC 28540-6312 | 2015-06-24 |
| 1699382408 | Antonia Evette Perkins | Counselor | 806 Bell Fork Rd, Jacksonville, NC 28540-6312 | 2020-09-25 |
| 1710512868 | Breanna Tiffany Elliott | Counselor | 806 Bell Fork Rd, Jacksonville, NC 28540-6312 | 2020-03-10 |
| 1871145953 | Shakira N Bell | Counselor | 806 Bell Fork Rd, Jacksonville, NC 28540-6312 | 2019-07-10 |
| 1902458037 | Mary Alisa Bullock | Counselor | 806 Bell Fork Rd, Jacksonville, NC 28540-6312 | 2019-07-09 |
| 1528531464 | Melissa Monique Graham | Counselor | 806 Bell Fork Rd, Jacksonville, NC 28540-6312 | 2019-01-03 |
| 1982172045 | Chaka Mcknight | Counselor | 806 Bell Fork Rd, Jacksonville, NC 28540-6312 | 2018-11-07 |
| 1255833299 | Catherine Veronica Jacobs | Counselor | 806 Bell Fork Rd, Jacksonville, NC 28540-6312 | 2018-03-06 |
| 1831604305 | Macy Melissa Hamm | Counselor | 806 Bell Fork Rd, Jacksonville, NC 28540-6312 | 2017-12-06 |
| 1124539473 | Charlotte Ginyard | Counselor | 806 Bell Fork Rd, Jacksonville, NC 28540-6312 | 2017-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067785 | Knox Counseling and Consulting, PC | Case Management | 513 New Bridge St-suite 500, Jacksonville, NC 28540 | 2020-09-14 |
| 1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
| 1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1043782899 | Brice Rivra | Military Health Care Provider | Rr 612 Loop Road, Jacsksonvile, NC 28540 | 2018-12-18 |
| 1649768599 | Alexander John Pybus | Student in an Organized Health Care Education/Training Program | White St Bldg As-100, Jacksonville, NC 28540 | 2018-04-26 |
| 1881198182 | Orleiquis Guerra | Military Health Care Provider | Marine Corps Air Station New River Bldg As-100, Jacksonville, NC 28540 | 2018-03-21 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1588183198 | Citizen Community Transport, LLC | Private Vehicle | 220 Foxwood Ct., Jacksonville, NC 28540 | 2017-09-14 |
| 1558886242 | Brandon Jay Smith | Military Health Care Provider | E Street Bldg G770, Camp Lejeune, NC 28540 | 2017-08-03 |
| 1174043244 | Jason Waters | Military Health Care Provider | White St, Bldg As-100, Jacksonville, NC 28540 | 2017-06-21 |
| Find all providers in zip 28540 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514670 | William George Beasley Jr. | Counselor | 205 Sherwood Rd, Jacksonville, NC 28540-5534 | 2020-09-28 |
| 1881200053 | Sarah M Allen | Counselor | 307 Angelina St, Jacksonville, TX 75766-9212 | 2020-09-22 |
| 1265048797 | Victoria Payne | Counselor | 7848 Playpen Ct, Jacksonville, FL 32210-1420 | 2020-09-21 |
| 1982234100 | Sherree Smith | Counselor | 934 Lynchburg Dr, Jacksonville, NC 28546-4560 | 2020-01-16 |
| 1982266490 | Fernette R Hoag | Counselor | 3955 Riverside Ave Ste 211, Jacksonville, FL 32205-3312 | 2019-07-04 |
| 1942796347 | Gods House of Solomon | Counselor | 1709 Helena St, Jacksonville, FL 32208-3692 | 2018-07-09 |
| 1295223600 | Ronald North | Counselor | 4427 Emerson St, Jacksonville, FL 32207-4969 | 2018-05-01 |
| 1649768037 | Tiffany Angela Yarbough | Counselor | 4427 Emerson St # 4308, Jacksonville, FL 32207-4969 | 2018-05-01 |
| 1588160303 | Julie Margarita Smith | Counselor | 720 Seabrook Pkwy, Jacksonville, FL 32211-7153 | 2018-04-02 |
| 1689172587 | Rittie Ann Ragland | Counselor | 4720 S. Salisbury Rd Ste 103, Jacksonville, FL 32256-6101 | 2018-01-25 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28540 |
Please comment or provide details below to improve the information on SUSAN VEGA.
| 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.