MISS SUSAN LYNN MARTIN (NPI# 1124261102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124261102 |
| Entity Type | Individual |
| Full Name | MISS SUSAN LYNN MARTIN |
| Credential | MA, LPC |
| Practice Address |
2277 Swanson Ave. Suite B Lake Havasu City AZ 86403 |
| Mailing Address |
P.o. Box 1746 Lake Havasu City AZ 86405 |
| Practice Telephone | 9288540110 |
| Practice Fax Number | 9288540112 |
| Mailing Telephone | 9288540110 |
| Mailing Fax Number | 9288540112 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2010-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-13205 | AZ | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-13205 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295397529 | Susan Martin | Counselor | 245 Farm Trak, Roswell, GA 30075-4218 | 2019-07-08 |
| 1851856827 | Susan B Martin | Registered Nurse | 8030 Resurrection Dr, Anchorage, AK 99504-4731 | 2019-02-04 |
| 1669846572 | Susan Denise Martin | Counselor | 160 Saratoga Ave Ste 290, Santa Clara, CA 95051-7334 | 2015-11-17 |
| 1992075758 | Susan Marie Martin | Occupational Therapy Assistant | 209 Joseph Ct, #5, Neenah, WI 54956-6415 | 2012-01-10 |
| 1932480308 | Susan Martin | Pharmacist | 6838 N Loron Ave, Chicago, IL 60646-1414 | 2011-08-30 |
| 1124344668 | Susan Martin | Registered Nurse | 518 Morris St, Ogdensburg, NY 13669-2730 | 2010-04-08 |
| 1508998980 | Susan Jill Martin | Pharmacist | 200 Hoff Rd Unit B, Westerville, OH 43082-7154 | 2007-03-12 |
| 1154453637 | Susan Carol Martin | Marriage & Family Therapist | 2130 50th Ave, Oakland, CA 94601-5435 | 2007-03-11 |
| 1184791618 | Susan M Martin | Family Medicine | 3434 W State Road 66, Rockport, IN 47635-9259 | 2006-11-29 |
| 1730262080 | Susan Catherine Martin | Physical Therapist | 5100 Eldorado Pkwy, Ste 110, Mckinney, TX 75070-6309 | 2006-10-23 |
| Street Address |
2277 SWANSON AVE. SUITE B |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972926830 | Tanya Powell | Counselor | 276 Lake Havasu Ave S Apt B28, Lake Havasu City, AZ 86403-6519 | 2014-01-29 |
| 1124431101 | Molly Port | Counselor | 1930 Mesquite Ave, Suite # 1a, Lake Havasu City, AZ 86403 | 2014-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588967 | Suzanne Basco | Counselor | 27072 N 175th Dr, Surprise, AZ 85387-1094 | 2020-11-04 |
| 1568063154 | Cleshaun A Dubose | Counselor | 6344 E Brown Rd Ste 104, Mesa, AZ 85205-4843 | 2020-11-02 |
| 1730789694 | Maryann Potter | Counselor | 4315 W Faull Dr, New River, AZ 85087-4908 | 2020-10-29 |
| 1477153377 | Karen Lee Williams | Counselor | 7655 Eest Redfield Rd, Suite 4, Scottsdale, AZ 85260 | 2020-10-29 |
| 1417557729 | Psychological and Consulting Services LLC | Counselor | 331 N 1st Ave Ste 102, Phoenix, AZ 85003-4528 | 2020-10-27 |
| 1154928059 | Jennifer Thompson | Counselor | 1310 W Stottler Dr, Chandler, AZ 85224-2716 | 2020-10-04 |
| 1235736208 | Yovana Apodaca | Counselor | 8758 E Mountain Spring Dr, Tucson, AZ 85747-5659 | 2020-10-02 |
| 1639785751 | Andre E Matthews | Counselor | 12600 N 113th Ave Ste B8, Youngtown, AZ 85363-1163 | 2020-09-23 |
| 1497361786 | Patricia L Pritchett | Counselor | 8893 N Lessing Ct, Tucson, AZ 85742-4443 | 2020-09-22 |
| 1861008203 | Entelechy Holdings | Counselor | 2383 E Springfield Pl, Chandler, AZ 85286-1206 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
Please comment or provide details below to improve the information on MISS SUSAN LYNN MARTIN.
| 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.