SUSAN CAROL OLSON MOON (NPI# 1992866743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992866743 |
| Entity Type | Individual |
| Full Name | SUSAN CAROL OLSON MOON |
| Credential | MS |
| Practice Address |
500 Cohasset Road Suite 15 Chico CA 95926 |
| Mailing Address |
11 Glenview Court Chico CA 95928 |
| Practice Telephone | 5308912945 |
| Practice Fax Number | 5308956669 |
| Mailing Telephone | 5803435041 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC42110 | CA | Behavioral Health & Social Service Providers |
| Street Address |
500 COHASSET ROAD SUITE 15 |
| City | CHICO |
| State | CA |
| Zip Code | 95926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205902830 | Jerry Donald Bakus | Marriage & Family Therapist | 500 Cohasset Road, Suite 15, Chico, CA 95926 | 2006-11-27 |
| 1104978733 | Loretta Cameron Carter | Marriage & Family Therapist | 500 Cohasset Road, Suite 15, Chico, CA 95926 | 2007-01-16 |
| 1316096225 | Walter Charles Dunn | Marriage & Family Therapist | 500 Cohasset Road, Suite 15, Chico, CA 95926 | 2007-01-09 |
| 1285797480 | Elizabeth Margaret Wildenhaus | Counselor | 500 Cohasset Road, Suite 15, Chico, CA 95926 | 2006-12-18 |
| 1265595458 | Margarita So Lema | Psychiatry & Neurology | 500 Cohasset Road, Suite 15, Chico, CA 95926-5134 | 2006-12-18 |
| 1417018573 | Francine E Kalso | Marriage & Family Therapist | 500 Cohasset Road, Suite 24, Chico, CA 95926 | 2006-12-13 |
| 1710047717 | Butte County Dept of Behavioral Health | Clinic/Center | 500 Cohasset Road, Suite 26, Chico, CA 95926 | 2006-12-11 |
| 1881754885 | Butte County Dept of Behavioral Health | Clinic/Center | 500 Cohasset Road, Suite 25, Chico, CA 95926 | 2006-12-11 |
| 1598824260 | Tami L Brown | Rehabilitation Counselor | 500 Cohasset Road, Suite 25, Chico, CA 95926 | 2006-12-08 |
| 1669530093 | Butte County Dept of Behavioral Health | Clinic/Center | 500 Cohasset Road, Suite 25, Chico, CA 85926 | 2006-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| 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 |
|---|---|---|---|---|
| 1891357554 | Tiffany Rhiannon Monique Runge | Marriage & Family Therapist | 572 Rio Lindo Ave Ste 104f, Chico, CA 95926-1851 | 2019-07-02 |
| 1003370792 | Adrienne Wilson | Marriage & Family Therapist | 2105 Forest Ave Ste 120, Chico, CA 95928-7695 | 2019-01-26 |
| 1891260493 | Maureen Ryan | Marriage & Family Therapist | 4 Dove Creek Ct, Chico, CA 95926-1625 | 2018-10-10 |
| 1306362397 | Brandi Callison | Marriage & Family Therapist | 35 Heritage Ln, Ste 3, Chico, CA 95926-1313 | 2017-08-21 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1386018026 | Mary Lou Snodgrass | Marriage & Family Therapist | 2345 Ceres Ave, Chico, CA 95926-1471 | 2015-11-18 |
| 1336518323 | Karie Frances Kaufman | Marriage & Family Therapist | 60 Landing Cir, Ste 1, Chico, CA 95973 | 2015-09-19 |
| 1134596505 | Joanna Leslie Wirtz Miller | Marriage & Family Therapist | 330 Flume St, #100, Chico, CA 95928-5400 | 2015-09-01 |
| 1053796722 | Kaelyn Michele Bootman | Marriage & Family Therapist | 1430 East Ave Ste 4a, Chico, CA 95926-1629 | 2015-07-23 |
| 1841679081 | Jamie Batha | Marriage & Family Therapist | 10 Walnut Park Dr, Chico, CA 95928-8101 | 2015-05-20 |
| Find all providers in CHICO | ||||
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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.