SUSAN BERG (NPI# 1417983875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417983875 |
| Entity Type | Individual |
| Full Name | SUSAN BERG |
| Practice Address |
3100 N 1st Ave Tucson AZ 85719-2513 |
| Mailing Address |
127 S 5th Ave Tucson AZ 85701-2005 |
| Practice Telephone | 5203274505 |
| Practice Fax Number | 5202021889 |
| Mailing Telephone | 5203274505 |
| Mailing Fax Number | 5202021889 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC - 11154 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548746308 | Susan Marie Berg | Physician Assistant | 1411 Mn-79, Elbow Lake, MN 56531 | 2018-07-16 |
| 1871001149 | Susan Ruth Berg | Occupational Therapist | 3223 Lemmon Ave Apt 4129, Dallas, TX 75204-1855 | 2018-01-19 |
| 1851636161 | Susan Berg | Counselor | 662 N New Ballas Rd, Creve Coeur, MO 63141-6737 | 2012-11-28 |
| 1053449371 | Susan H. Berg | Social Worker | 105 Whittier Pl, Port Jefferson, NY 11777-1619 | 2007-02-28 |
| 1205924743 | Susan R. Berg | Marriage & Family Therapist | 315 E Cotati Ave Ste G, Cotati, CA 94931-7801 | 2006-10-10 |
| 1043219736 | Susan Berg | Family Medicine | 311 W. Fairchild, Danville, IL 61832-3876 | 2005-07-15 |
| 1972506202 | Susan E. Berg | Clinical Nurse Specialist | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2005-05-31 |
| 1164084778 | Susan Z Berg | Genetic Counselor, MS | One Medical Center Drive, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756 | 2019-07-03 |
| 1730201963 | Susan E Berg | Speech-Language Pathologist | 2565 Elmwood Ave, Kenmore, NY 14217-1939 | 2007-04-06 |
| 1457473936 | Susan Marie Berg | Pharmacist | 2300 N Childrens Plz, Children's Memorial Hospital, Chicago, IL 60614-3363 | 2007-04-04 |
| Street Address |
3100 N 1ST AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85719-2513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487680146 | Dawn Florence Crawford-rogers | Social Worker | 3100 N 1st Ave, Tucson, AZ 85719-2513 | 2006-06-24 |
| 1245644558 | Chang Wook Lee | Counselor | 3100 N 1st Ave, Tucson, AZ 85719-2513 | 2014-06-13 |
| 1730475195 | Myrna Garcia | Counselor | 3100 N 1st Ave, Tucson, AZ 85719-2513 | 2011-06-23 |
| 1245523976 | Kimberly Schulz | Counselor | 3100 N 1st Ave, Tucson, AZ 85719-2513 | 2011-05-27 |
| 1619163656 | Kenneth Richard Jones | Nurse's Aide | 3100 N 1st Ave, Tucson, AZ 85719-2513 | 2007-09-24 |
| 1487840591 | Nina Perrette | Licensed Practical Nurse | 3100 N 1st Ave, Tucson, AZ 85719-2513 | 2007-09-21 |
| 1780605568 | Lina A. Rosin | Nurse Practitioner | 3100 N 1st Ave, Tucson, AZ 85719-2513 | 2006-07-21 |
| 1447275458 | Ilaann White | Licensed Practical Nurse | 3100 N 1st Ave, Tucson, AZ 85719-2513 | 2006-07-12 |
| 1578598389 | Diana Williams | Licensed Practical Nurse | 3100 N 1st Ave, Tucson, AZ 85719-2513 | 2006-07-11 |
| 1467487272 | Eliza Juan | Licensed Practical Nurse | 3100 N 1st Ave, Tucson, AZ 85719-2513 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
| 1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
| 1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
| 1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
| Find all providers in zip 85719 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736208 | Yovana Apodaca | Counselor | 8758 E Mountain Spring Dr, Tucson, AZ 85747-5659 | 2020-10-02 |
| 1497361786 | Patricia L Pritchett | Counselor | 8893 N Lessing Ct, Tucson, AZ 85742-4443 | 2020-09-22 |
| 1396363172 | Carly Moss | Counselor | 4625 E Broadway Blvd Ste 105, Tucson, AZ 85711-3575 | 2020-07-08 |
| 1891317665 | Chris Ledyard | Counselor | 1150 N Sonoita Ave, Tucson, AZ 85712-5169 | 2020-05-14 |
| 1437770013 | Elsa M Duarte | Counselor | 1900 W Speedway Blvd, Tucson, AZ 85745-2215 | 2020-05-05 |
| 1679194898 | Kelly J Wilt | Counselor | 469 S Convent Ave, Tucson, AZ 85701-2261 | 2020-04-28 |
| 1598385098 | David Thomas Bradley | Counselor | 5909 E 3rd St, Tucson, AZ 85711-1522 | 2020-04-24 |
| 1689203036 | Mary C Cahilly | Counselor | 2165 N Camino Agrios, Tucson, AZ 85715-5908 | 2020-04-07 |
| 1316575418 | Gayla Lemley | Counselor | 3600 N Camino Sinuoso, Tucson, AZ 85718-7219 | 2020-04-01 |
| 1649806738 | Metamorphosis Counseling Services | Counselor | 310 S Williams Blvd Ste 235, Tucson, AZ 85711-7704 | 2020-03-20 |
| Find all providers in TUCSON | ||||
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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.