SUSAN NASSER RECORD (NPI# 1740509744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740509744 |
Entity Type | Individual |
Full Name | SUSAN NASSER RECORD |
Credential | LPC |
Practice Address |
1323 E Sherman Ave Ste D Coeur D Alene ID 83814-4069 |
Mailing Address |
3117 N 18th St Coeur D Alene ID 83815-6458 |
Practice Telephone | 2086761075 |
Mailing Telephone | 2086406814 |
Enumeration Date | 2010-06-01 |
Last Update Date | 2010-06-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | LPC-4090 | ID | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689843633 | Susan Crow Record | Social Worker | 3937 Western Blvd, Raleigh, NC 27606-1936 | 2008-02-25 |
Street Address |
1323 E SHERMAN AVE STE D |
City | COEUR D ALENE |
State | ID |
Zip Code | 83814-4069 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
Find all providers in zip 83814 |
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 |
---|---|---|---|---|
1699143164 | Susan Davies | Counselor | 1905 E Nettleton Gulch Rd, Coeur D Alene, ID 83815-6234 | 2015-09-14 |
1144696154 | Margaret Carfield | Counselor | 1308 N 7th St, Coeur D Alene, ID 83814-3237 | 2015-08-13 |
1699164236 | Glenn Vaughn | Counselor | 416 E Foster Ave, 2488 Merritt Creek Loop Suite Number 2c, Coeur D Alene, ID 83814-3045 | 2015-01-20 |
1255756730 | Dirne Health Centers, Inc. | Counselor | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2014-02-20 |
1154628667 | Cynthia Lee Nelson | Counselor | 1014 E Gilbert Ave, Coeur D Alene, ID 83815-4955 | 2011-02-17 |
1073672283 | Melissa Morin | Counselor | 4267 W Saw Blade Ln, Coeur D Alene, ID 83814-0003 | 2006-12-06 |
1285642520 | Raquel Angela Kellicut | Counselor | 1420 Lincoln Way Ste 500, Coeur D Alene, ID 83814-2391 | 2006-08-03 |
1285686477 | Dirne Health Centers, Inc. | Counselor | 1090 W Park Place, Coeur D Alene, ID 83814-2480 | 2006-05-16 |
1558961904 | Teresa Lynn Hansen | Counselor | 211 E Coeur D Alene Ave, Coeur D Alene, ID 83814-4926 | 2020-10-27 |
1386284958 | Rachel Jones | Counselor | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2020-01-13 |
Find all providers in COEUR D ALENE |
City | COEUR D ALENE |
Zip Code | 83814 |
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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.