SUSAN ERICKSON (NPI# 1124375191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124375191 |
| Entity Type | Individual |
| Full Name | SUSAN ERICKSON |
| Practice Address |
805 Tijeras Ave Nw Albuquerque NM 87102-3099 |
| Practice Telephone | 5052421010 |
| Mailing Telephone | 5052421010 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 21920869 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326390527 | Susan Jane Erickson | Speech-Language Pathologist | 305 N. 6th, La Conner, WA 98257 | 2012-10-11 |
| 1669555843 | Susan Lee Erickson | Psychiatry & Neurology | 327 S Marshall Rd, Bhsi LLC Suite 250, Shakopee, MN 55379-2666 | 2006-10-23 |
| 1841306834 | Susan Erickson | Psychologist | 335 Madison, San Antonio, TX 78204-1324 | 2006-08-22 |
| 1043581721 | Susan Erickson | Speech-Language Pathologist | 4718 23rd Ave, Suite 500, Missoula, MT 59803-1163 | 2012-01-26 |
| 1881827657 | Susan Erickson | Social Worker | 26 Hadley Lake Road, Machias, ME 04654-0088 | 2009-08-27 |
| 1578708418 | Susan Rene' Erickson | Specialist | 2 Main St, Ste 202, Kalispell, MT 59901-6414 | 2008-12-05 |
| 1225215247 | Susan K Erickson | Occupational Therapist | 2446 Kipling Ave, Cincinnati, OH 45239-6650 | 2008-01-22 |
| Street Address |
805 TIJERAS AVE NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-3099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942346762 | Kerry Michael Hanson | Social Worker | 805 Tijeras Ave Nw, Albuquerque, NM 87102-3099 | 2007-01-29 |
| 1306443148 | Andrea Michelle Vallejos | Peer Specialist | 805 Tijeras Ave Nw, Albuquerque, NM 87102-3099 | 2020-10-05 |
| 1447874235 | Lecia Mchargue | Case Manager/Care Coordinator | 805 Tijeras Ave Nw, Albuquerque, NM 87102-3099 | 2020-06-08 |
| 1255965976 | Samantha J Anderson | Social Worker | 805 Tijeras Ave Nw, Albuquerque, NM 87102-3099 | 2020-03-03 |
| 1467093013 | Janelle Renee Montoya | Community Health Worker | 805 Tijeras Ave Nw, Albuquerque, NM 87102-3099 | 2019-10-04 |
| 1841831666 | Celeste Estrada | Case Manager/Care Coordinator | 805 Tijeras Ave Nw, Albuquerque, NM 87102-3099 | 2019-10-02 |
| 1033766878 | Marhia Kayla Sanchez | Case Manager/Care Coordinator | 805 Tijeras Ave Nw, Albuquerque, NM 87102-3099 | 2019-08-26 |
| 1255801635 | Queva Hubbard | Case Manager/Care Coordinator | 805 Tijeras Ave Nw, Albuquerque, NM 87102-3099 | 2018-11-28 |
| 1548730922 | Jordan Garcia | Social Worker | 805 Tijeras Ave Nw, Albuquerque, NM 87102-3099 | 2018-11-28 |
| 1346726742 | Susan E Wells | Case Manager/Care Coordinator | 805 Tijeras Ave Nw, Albuquerque, NM 87102-3099 | 2018-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487278982 | Edward L Lyell | Counselor | 7005 Prospect Pl Ne, Albuquerque, NM 87110-4311 | 2020-06-01 |
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1073172854 | Katherine Bassiri, LLC. | Counselor | 5300 Sequoia Rd Nw Ste 207, Albuquerque, NM 87120-1248 | 2019-06-06 |
| 1922576149 | Jacqueline Castille | Counselor | 4004 Carlisle Blvd Ne Ste C-3, Albuquerque, NM 87107-4565 | 2018-11-06 |
| 1043792997 | Elizabeth Bennett | Counselor | 309 59th St Nw, Albuquerque, NM 87105 | 2018-09-06 |
| 1801395389 | Emily J Cano | Counselor | 2601 Wyoming Blvd Ne Ste 101, Albuquerque, NM 87112-1000 | 2018-02-09 |
| 1124533153 | Joy E Davis | Counselor | 8403 Constitution Ave Ne # 87110, Albuquerque, NM 87110-7614 | 2017-12-13 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1205369089 | Jonathan Juerling | Counselor | 5204 Vicksburg Dr Nw, Albuquerque, NM 87120-4501 | 2017-04-07 |
| 1467902098 | Jeffrey Holland | Counselor | 5421 Summer Ave Ne, Albuquerque, NM 87110-6435 | 2016-10-06 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on SUSAN ERICKSON.
| 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.