SUSAN SELF (NPI# 1134521370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134521370 |
| Entity Type | Individual |
| Full Name | SUSAN SELF |
| Practice Address |
13460 N 94th Dr Suite J2 Peoria AZ 85381-4835 |
| Mailing Address |
8292 E Cortez Dr Scottsdale AZ 85260-5668 |
| Practice Telephone | 6234877763 |
| Practice Fax Number | 6234868276 |
| Mailing Telephone | 6236805634 |
| Mailing Fax Number | 4806619024 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-0947 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023047149 | Susan Michelle Self | Family Medicine | 8001 Youree Dr, Suite 540, Shreveport, LA 71115-2302 | 2006-07-01 |
| Street Address |
13460 N 94TH DR SUITE J2 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-4835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972582468 | Sherry Lynn Miller | Audiologist | 13460 N 94th Dr, Ste G-2, Peoria, AZ 85381-4835 | 2006-01-12 |
| 1891207478 | Robert Miller | Pain Medicine | 13460 N 94th Dr, Peoria, AZ 85381-4835 | 2017-11-03 |
| 1699213405 | Kenni Uribe | Social Worker | 13460 N 94th Dr, Peoria, AZ 85381-4835 | 2017-02-01 |
| 1376088492 | Brent Peak | Counselor | 13460 N 94th Dr, Suite K3, Peoria, AZ 85381-4835 | 2016-12-28 |
| 1245685767 | Mackenzie Cortese | Counselor | 13460 N 94th Dr, Suite K-3, Peoria, AZ 85381-4835 | 2016-05-03 |
| 1821457532 | Oculoplastic Eye Surgeons of Phoenix P.l.c. | Ophthalmology | 13460 N 94th Dr, Suite L-1, Peoria, AZ 85381-4835 | 2016-02-23 |
| 1982076824 | Smile Today Peoria, Plc | Dentist | 13460 N 94th Dr, Suite H-2, Peoria, AZ 85381-4835 | 2015-10-29 |
| 1962828988 | Lori Smith | Counselor | 13460 N 94th Dr, Ste. J2, Peoria, AZ 85381-4835 | 2014-03-14 |
| 1972938330 | Christina M Pence | Counselor | 13460 N 94th Dr, Suite K3, Peoria, AZ 85381-4835 | 2013-09-04 |
| 1659612869 | Audiology Distribution, LLC | Audiologist-Hearing Aid Fitter | 13460 N 94th Dr, Suite G-2, Peoria, AZ 85381-4835 | 2013-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942815303 | Lauren Hope Auer | Counselor | 10511 Churchill Dr, Peoria, IL 61615-1179 | 2020-09-12 |
| 1467070854 | Nicole Richardson | Counselor | 12121 W Remuda Dr, Peoria, AZ 85383-5864 | 2020-07-11 |
| 1265061972 | John Westerberg | Counselor | 3516 W Harmon Hwy, Peoria, IL 61604-5925 | 2020-04-04 |
| 1427681097 | Renae Miller Counseling, Pllc | Counselor | 7501 N University St Ste 131, Peoria, IL 61614-1298 | 2020-02-21 |
| 1265993562 | Michele Meigh | Counselor | 11361 N 99th Ave Ste 107, Peoria, AZ 85345-5469 | 2019-03-28 |
| 1821563081 | Arizona Consulting and Counseling Services | Counselor | 8263 W Thunderbird Rd Ste 100, Peoria, AZ 85381-4615 | 2018-10-03 |
| 1710460332 | Amy Kathleen Biegler | Counselor | 8500 N Knoxville Ave Ste A&b, Peoria, IL 61615-2079 | 2018-09-10 |
| 1447732045 | Kristin Mckenzie | Counselor | 8037 W Spur Dr, Peoria, AZ 85383-6221 | 2018-08-30 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| Find all providers in PEORIA | ||||
Please comment or provide details below to improve the information on SUSAN SELF.
| 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.