SUSIE MICHELLE KING (NPI# 1083961932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083961932 |
| Entity Type | Individual |
| Full Name | SUSIE MICHELLE KING |
| Other Name | SUSAN M. KING |
| Credential | M.S. |
| Practice Address |
1150 N Mcdowell Blvd #751600 Petaluma CA 94975-8800 |
| Mailing Address |
Po Box 751600 Petaluma CA 94975-1600 |
| Practice Telephone | 8053027654 |
| Mailing Telephone | 8053027654 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2016-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336540525 | Susie King | Social Worker | 300 S 23rd St, Boise, ID 83702-9100 | 2014-09-08 |
| Street Address |
1150 N MCDOWELL BLVD #751600 |
| City | PETALUMA |
| State | CA |
| Zip Code | 94975-8800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780848325 | Rebecca Saben Timme | Psychiatry & Neurology | 1150 N Mcdowell Blvd Unit 750724, Petaluma, CA 94975-8808 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821752 | Pacific Advanced Surgical Services | Pain Medicine | 191 Lynch Creek Way Ste 101, Petaluma, CA 94954-2389 | 2020-11-02 |
| 1811596737 | Counseling Connections LLC | Counselor | 1301 Redwood Way Ste 223, Petaluma, CA 94954-1136 | 2020-10-21 |
| 1780282988 | Muir Wood LLC | Substance Abuse Rehabilitation Facility | 2891 I Street Ext, Petaluma, CA 94952-9521 | 2020-10-12 |
| 1427662584 | Sharmaine Marie Collier | Registered Nurse | 104 8th St Apt 1, Petaluma, CA 94952-4086 | 2020-09-04 |
| 1477167948 | Kate Kaliska Oliver | Massage Therapist | 238 Petaluma Way, Petaluma, CA 94954-1310 | 2020-09-02 |
| 1831703651 | Janese Smith | Massage Therapist | 506 Greenwich St, Petaluma, CA 94954-8541 | 2020-08-31 |
| 1720692577 | Muir Wood, LLC. | Substance Abuse Rehabilitation Facility | 1743 Skillman Lane, Petaluma, CA 94952-9495 | 2020-08-31 |
| 1992315451 | Michelle Patino | Registered Nurse | 615b 2nd St, Petaluma, CA 94952-5123 | 2020-08-08 |
| 1205445376 | Jing Cai | Technician | 616 Armida Dr, Petaluma, CA 94954-3710 | 2020-07-24 |
| 1669080446 | Meredith Elise Fore | Behavior Technician | 1301 Redwood Way Ste 120, Petaluma, CA 94954-1136 | 2020-07-17 |
| Find all providers in PETALUMA | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596737 | Counseling Connections LLC | Counselor | 1301 Redwood Way Ste 223, Petaluma, CA 94954-1136 | 2020-10-21 |
| 1346883840 | Miguel Ibarra | Counselor | 5350 Old Redwood Highway, Petaluma, CA 94954 | 2019-10-28 |
| 1124544275 | Susan Marie Kokke | Counselor | 405 East D Street, Suite 109, Petaluma, CA 94952-3173 | 2017-08-21 |
| 1851830293 | Douglas Lerch | Counselor | 7 4th St Ste 46, Petaluma, CA 94952-7402 | 2017-02-17 |
| 1174074702 | Chela Fielding | Counselor | 1016 Mcnear Ave, Petaluma, CA 94952-5215 | 2016-10-19 |
| 1457723710 | Lisabel Dolne | Counselor | 1360 N. Mcdowell Blvd.1a, Petaluma, CA 94954 | 2015-10-27 |
| 1093948481 | Catherine Suzanne Fleck | Counselor | 417 Sheldon Avenue, Petaluma, CA 94952 | 2009-09-01 |
| 1679600506 | Christel F Lukoff | Counselor | 1035 B St, Petaluma, CA 94952-4026 | 2007-02-27 |
| 1750426482 | Susan Gilley Zalkaske | Counselor | 1500 Petaluma Blvd S Ste A, Petaluma, CA 94952-5546 | 2007-02-20 |
| 1780728378 | Suzanne Nmn Sackett | Counselor | 1500 Petaluma Blvd S, Suite A, Petaluma, CA 94952-5545 | 2007-02-16 |
| Find all providers in PETALUMA | ||||
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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.