SUSAN JEAN HENRY (NPI# 1013313485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013313485 |
| Entity Type | Individual |
| Full Name | SUSAN JEAN HENRY |
| Credential | BS, CLINICIAN I |
| Practice Address |
650 W Southern Ave Mesa AZ 85210-5032 |
| Mailing Address |
202 E Earll Dr Suite 200 Phoenix AZ 85012-2647 |
| Practice Telephone | 6025995526 |
| Practice Fax Number | 6025995487 |
| Mailing Telephone | 6025995404 |
| Mailing Fax Number | 6025995704 |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730642935 | Susan Lipman Henry | Social Worker | 35 Nutmeg Ln, Fairfield, CT 06824-3909 | 2019-04-13 |
| 1073935946 | Susan Henry | Social Worker | 7022 Emerson St, Morton Grove, IL 60053-1205 | 2014-01-13 |
| 1376985499 | Susan Henry | Occupational Therapist | 7 Independence Way Apt 403, Franklin, MA 02038-7312 | 2013-07-18 |
| 1609043413 | Susan Lynn Henry | Speech-Language Pathologist | 9212 Oswald Way, Apt. 2d, Baltimore, MD 21237-4464 | 2008-05-12 |
| 1114315769 | Susan Henry | Physical Therapist | 126 N San Gabriel Blvd, San Gabriel, CA 91775-2427 | 2015-01-06 |
| 1477795755 | Susan Henry | Nurse Practitioner | 9834 Genesee Ave, Suite Number: 400, La Jolla, CA 92037-1223 | 2009-04-01 |
| 1699930149 | Susan Henry | Massage Therapist | 1300 Ne Goldie St, Oak Harbor, WA 98277-4832 | 2008-07-24 |
| 1174706089 | Susan D. Henry | Social Worker | 10810 Executive Center Dr, Suite 303, Little Rock, AR 72211-4354 | 2007-12-13 |
| 1477686889 | Susan Henry | Marriage & Family Therapist | 4710 Champions Trace Ln, 107, Louisville, KY 40218-3495 | 2007-03-14 |
| 1447311071 | Susan K Henry | Emergency Medicine | 1 Childrens Plz, Dayton, OH 45404-1873 | 2006-12-13 |
| Street Address |
650 W SOUTHERN AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85210-5032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205818614 | Tutankhamen A Pappoe | Physical Medicine & Rehabilitation | 650 W Southern Ave, 2, Mesa, AZ 85210-5012 | 2005-11-20 |
| 1053717298 | Cher Ann Roanhorse | Case Manager/Care Coordinator | 650 W Southern Ave, Mesa, AZ 85210-5032 | 2014-11-17 |
| 1255737490 | Kathryn Marie Woolley | Driver | 650 W Southern Ave, Mesa, AZ 85210-5032 | 2014-11-17 |
| 1013313261 | George Montiel | Driver | 650 W Southern Ave, Mesa, AZ 85210-5032 | 2014-11-17 |
| 1366848012 | Daniel Stephen Frimer | Driver | 650 W Southern Ave, Mesa, AZ 85210-5032 | 2014-11-07 |
| 1841498474 | New Arizona Family Inc | Voluntary or Charitable | 650 W Southern Ave, Mesa, AZ 85210-5032 | 2007-07-05 |
| 1316005283 | Robert Dean Hunn | Pediatrics | 650 W Southern Ave, Ste 1, Mesa, AZ 85210 | 2006-12-04 |
| 1689756215 | Lifewell Behavioral Wellness | Community/Behavioral Health | 650 W Southern Ave, Mesa, AZ 85210-5032 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013565548 | Synovation Integrated Partners, LLC | Case Manager/Care Coordinator | 6328 E Brown Rd Ste 107, Mesa, AZ 85205-4841 | 2019-08-28 |
| 1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
| 1235687153 | Jenny Blythe | Case Manager/Care Coordinator | 4121 S Brice, Mesa, AZ 85212-4183 | 2016-09-20 |
| 1154781417 | Unique Interventions | Case Manager/Care Coordinator | 2106 W 8th Ave, Mesa, AZ 85202-2827 | 2016-02-29 |
| 1730585126 | Patricia Ann Gurrieri | Case Manager/Care Coordinator | 901 S Dobson Rd, Suite 1021, Mesa, AZ 85202-2956 | 2014-11-12 |
| 1760617153 | Marcy Solomonson | Case Manager/Care Coordinator | 1438 S Norfolk, Mesa, AZ 85206-3320 | 2009-05-28 |
| 1174654933 | Cynthia J Miller | Case Manager/Care Coordinator | 51543 K E Road, Mesa, CO 81643-0518 | 2007-03-07 |
| 1164817599 | Julie Jackson | Case Manager/Care Coordinator | 6915 E Main St, Mesa, AZ 85207-8229 | 2015-04-02 |
| 1134527377 | Chasity Sosa | Case Manager/Care Coordinator | 619 W Southern Ave, Mesa, AZ 85210-5004 | 2014-12-19 |
| 1013315381 | Amy Flores | Case Manager/Care Coordinator | 262 E University Dr, Mesa, AZ 85201-5932 | 2014-12-18 |
| Find all providers in MESA | ||||
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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.