MS. SUSAN ELIZABETH ST VRAIN (NPI# 1902310790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902310790 |
| Entity Type | Individual |
| Full Name | MS. SUSAN ELIZABETH ST VRAIN |
| Credential | M.A. |
| Practice Address |
4835 Poplar Level Rd Louisville KY 40213-2905 |
| Mailing Address |
4835 Poplar Level Rd Ste 110 Louisville KY 40213-2906 |
| Practice Telephone | 5024435273 |
| Practice Fax Number | 5026319660 |
| Mailing Telephone | 5024435273 |
| Mailing Fax Number | 5026319660 |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | KY | Behavioral Health & Social Service Providers | |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
KY | Behavioral Health & Social Service Providers |
| Street Address |
4835 POPLAR LEVEL RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40213-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275171779 | Shimere Simpson | Case Manager/Care Coordinator | 4835 Poplar Level Rd, Louisville, KY 40213-2905 | 2019-12-15 |
| 1205485091 | Ashley Marie Robinson | Case Manager/Care Coordinator | 4835 Poplar Level Rd, Louisville, KY 40213-2905 | 2019-09-05 |
| 1902452113 | Rebecca A Rector | Counselor | 4835 Poplar Level Rd, Louisville, KY 40213-2905 | 2019-08-13 |
| 1588135578 | Melanie Salsbury | Social Worker | 4835 Poplar Level Rd, Louisville, KY 40213-2905 | 2018-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487130076 | Latonia Cheeks | Counselor | 4835 Poplar Level Rd Ste. 110, Louisville, KY 40213 | 2018-07-17 |
| 1225553431 | Kandace Ratterman | Case Manager/Care Coordinator | 4814 Kingfisher Way, Louisville, KY 40213 | 2017-08-08 |
| 1700338456 | Ann Devos | Physician Assistant | 3303 Fern Valley Road, Louisville, KY 40213 | 2016-10-28 |
| 1124426275 | Rebecca Sue Jenkins | Home Health Aide | 3523 Whippoorwill Rd, Louisville, KY 40213 | 2014-12-05 |
| 1053518308 | Gabor Ambrus | Pathology | 4500 Conaem Drive, Louisville, KY 40213 | 2007-06-29 |
| 1760504724 | Benjamin Francis Robinson | Chiropractor | 4919h Dixie Highway, Louisville, KY 40213 | 2007-04-03 |
| 1790814408 | Howard L Green | Dentist | 3813 Poplar Level Rd, Louisville, KY 40213 | 2007-03-06 |
| 1063587970 | Roy Hyman | Optometrist | 5202 Preston Hwy, Louisville, KY 40213 | 2006-11-24 |
| 1689769291 | James H Kidwell | Psychologist | 1448 Gardiner Lane, Suite 202 203, Louisville, KY 40213 | 2006-10-03 |
| 1366556524 | Harris & Harris Dmd Psc | Dentist | 5014 Preston Hwy, #b, Louisville, KY 40213 | 2006-08-17 |
| Find all providers in zip 40213 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881507 | Lucas Counseling and Consulting | Counselor | 8134 New Lagrange Road Suite 100, Louisville, KY 40222 | 2020-11-06 |
| 1841899036 | Minjoo Bayers | Counselor | 1400 Willow Ave Apt 1701, Louisville, KY 40204-1470 | 2020-10-20 |
| 1104425594 | Tracy Chaney Oldaker | Counselor | 1310 Mark Trail Rd, Louisville, KY 40242-3612 | 2020-10-19 |
| 1386255131 | 1st Priority Healthcare LLC | Counselor | 4229 Bardstown Rd Ste 201, Louisville, KY 40218-3286 | 2020-08-14 |
| 1326659202 | Sean Michael Kelly | Counselor | 1407 Dellwood Dr, Louisville, KY 40216-4070 | 2020-08-13 |
| 1114537933 | Rocky Mountain Counseling Services | Counselor | 908 Main St Ste 370, Louisville, CO 80027-1867 | 2020-08-06 |
| 1205454220 | Andrew Raymond Thomas | Counselor | 302 Axis Dr Apt 301, Louisville, KY 40206-0130 | 2020-07-07 |
| 1629695481 | Christine Ann Thorp | Counselor | 1612 Cottonwood Dr Apt 10, Louisville, CO 80027-2826 | 2020-06-28 |
| 1316563372 | Molly Elizabeth Fitzgerald | Counselor | 350 Evergreen Road Suite 102, Louisville, KY 40243 | 2020-06-24 |
| 1396361523 | Sarah Brees | Counselor | 521 E Ormsby Ave, Louisville, KY 40203-2620 | 2020-06-23 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40213 |
Please comment or provide details below to improve the information on MS. SUSAN ELIZABETH ST VRAIN.
| 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.