SUSANNAH LYNN PIPKIN (NPI# 1275092728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275092728 |
| Entity Type | Individual |
| Full Name | SUSANNAH LYNN PIPKIN |
| Credential | LMSW |
| Practice Address |
1309 Camas St Blackfoot ID 83221-3060 |
| Practice Telephone | 2087820675 |
| Mailing Telephone | 2087020675 |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
38373 | ID | Behavioral Health & Social Service Providers |
| Street Address |
1309 CAMAS ST |
| City | BLACKFOOT |
| State | ID |
| Zip Code | 83221-3060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275638645 | Stillwaters Counseling LLC | Case Management | 1309 Camas St, Blackfoot, ID 83221-3060 | 2006-09-13 |
| 1184257644 | Dallen Ray Bell | Counselor | 1309 Camas St, Blackfoot, ID 83221-3060 | 2020-02-12 |
| 1326670845 | Ben Lazarus Fox | Social Worker | 1309 Camas St, Blackfoot, ID 83221-3060 | 2020-02-12 |
| 1275177503 | Still Waters Counseling LLC | Case Management | 1309 Camas St, Blackfoot, ID 83221-3060 | 2019-10-30 |
| 1568006815 | Stillwaters Counseling LLC | Community/Behavioral Health | 1309 Camas St, Blackfoot, ID 83221-3060 | 2019-10-30 |
| 1407499973 | Stillwaters Counseling LLC | Peer Specialist | 1309 Camas St, Blackfoot, ID 83221-3060 | 2019-10-28 |
| 1548771769 | Jordan Lyon | Counselor | 1309 Camas St, Blackfoot, ID 83221-3060 | 2017-10-15 |
| 1265951388 | Neill J Jenson | Counselor | 1309 Camas St, Blackfoot, ID 83221-3060 | 2017-09-11 |
| 1760937148 | Kayla Pedigo | Counselor | 1309 Camas St, Blackfoot, ID 83221-3060 | 2016-08-16 |
| 1710336946 | Sharon Lee Rivas | Counselor | 1309 Camas St, Blackfoot, ID 83221-3060 | 2016-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711165 | Samantha Paige Averett | Social Worker | 60 N Broadway, Blackfoot, ID 83221 | 2020-08-19 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1962994962 | Tyler Thomas Wood | Student in an Organized Health Care Education/Training Program | 98 Poplar Street, Blackfoot, Id 83221, Blackfoot, ID 83221 | 2018-06-05 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1497119804 | Susan Doran | Social Worker | 720 E. Alice, Blackfoot, ID 83221 | 2016-04-12 |
| 1427412121 | Josie Russell Adkins | Counselor | 720 East Alice, Blackfoot, ID 83221 | 2016-04-08 |
| 1740590314 | Ashley Nichole Thomas | Physician Assistant | 710 E. Alice Street, Blackfoot, ID 83221 | 2010-10-18 |
| 1528373313 | Stephanie Lynn Henderson | Dietitian, Registered | 1555 Vernon Ave, Blackfoot, ID 83221 | 2010-08-17 |
| 1184850141 | Joy H. Taylor | Nurse Practitioner | 1441 Parkway Drive, Blackfoot, ID 83221 | 2009-06-04 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| Find all providers in zip 83221 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477106854 | Delyn D Porter | Counselor | 320 N 1100 W, Blackfoot, ID 83221-5152 | 2019-07-24 |
| 1982129177 | Jordan Wixom | Counselor | 411 Rich Ln, Blackfoot, ID 83221-3950 | 2017-08-08 |
| 1427412121 | Josie Russell Adkins | Counselor | 720 East Alice, Blackfoot, ID 83221 | 2016-04-08 |
| 1659584183 | Arlene J May | Counselor | 310 N Shilling Ave, Blackfoot, ID 83221-2334 | 2007-05-08 |
| 1194942185 | Kathleen S Tomazin | Counselor | 90 W Judicial St, Blackfoot, ID 83221-2715 | 2007-04-19 |
| 1184082927 | David Scott Hurst | Counselor | 1309 Camas St, Blackfoot, ID 83221-3060 | 2016-02-08 |
| 1730514126 | Brittany Jean Anderson | Counselor | 167 W Bridge St, Blackfoot, ID 83221-2704 | 2013-09-05 |
| 1548602998 | Shelley Scott | Counselor | 60 N Broadway St, Blackfoot, ID 83221-2706 | 2013-07-26 |
| 1699929968 | Gretta M Beutler | Counselor | 90 W Judicial St, Blackfoot, ID 83221-2715 | 2008-11-12 |
| 1780872275 | Cynthia R Lemon | Counselor | 90 W Judicial St, Blackfoot, ID 83221-2715 | 2007-10-09 |
| Find all providers in BLACKFOOT | ||||
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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.