SUSAN SCHLOSSER (NPI# 1962650259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962650259 |
| Entity Type | Individual |
| Full Name | SUSAN SCHLOSSER |
| Other Name | SUSAN SCHLOSSER SHEPARD |
| Credential | LMFT, LPC |
| Practice Address |
4516 Boat Club Rd Ste 106 Fort Worth TX 76135-7020 |
| Practice Telephone | 8172380106 |
| Mailing Telephone | 6825569096 |
| Mailing Fax Number | 8172388333 |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2019-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 17834 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 3900789 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6644 Lakeside Drive, Fort Worth, TX 76132 | 8172376644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225323876 | Susan Kaye Schlosser | Registered Nurse | 237 E Main St, Piqua, OH 45356-4037 | 2011-06-11 |
| 1457424368 | Susan A Schlosser | Massage Therapist | 22002 64th Ave W, Suite 12, Mountlake Terrace, WA 98043-2528 | 2006-11-16 |
| Street Address |
4516 BOAT CLUB RD STE 106 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76135-7020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245463926 | Guadalupe Garcia | Counselor | 4516 Boat Club Rd Ste 106, Fort Worth, TX 76135-7020 | 2009-08-28 |
| 1801301189 | Emily Wallen | Counselor | 4516 Boat Club Rd Ste 106, Fort Worth, TX 76135-7020 | 2017-12-07 |
| 1225481146 | Jackie Manivanh | Counselor | 4516 Boat Club Rd Ste 106, Fort Worth, TX 76135-7020 | 2016-07-15 |
| 1629442900 | Jacqueline Jayde Young | Counselor | 4516 Boat Club Rd Ste 106, Fort Worth, TX 76135-7020 | 2015-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283501 | Sung Ryel Choi | Dentist | 6014 Azle Ave # 100, Lake Worth, TX 76135 | 2018-08-06 |
| 1750882056 | Kandess Klein | Licensed Vocational Nurse | 8825 Claiborn St, Lakeside, TX 76135 | 2018-02-22 |
| 1841791258 | Robyn Rich | Technician | 5104 Prestwick Drive, Fort Worth, TX 76135 | 2018-02-22 |
| 1598207821 | Young Men's Christian Association of Metropolitan Fort Worth | Health Educator | 5315 Boat Club Rd, Fort Worth, TX 76135 | 2016-11-17 |
| 1558818534 | Clearfork Academy Lp | Substance Abuse Rehabilitation Facility | 7820 Hanger Cut Off, Fort Worth, TX 76135 | 2016-09-07 |
| 1316300999 | National Vision, Inc. | Technician/Technologist | 6014 Azle Ave, Ste 200, Lake Worth, TX 76135 | 2016-04-01 |
| 1457647570 | Cynthia Rosaline Witt | Optometrist | 6014 Azle Avenue, Suite 300, Lake Worth, TX 76135 | 2011-06-27 |
| 1316134125 | Home Town Dental,pa | Dentist | 6332 Lake Worth, Lake Worth, TN 76135 | 2007-09-26 |
| 1790984789 | Jonathan Nicholas Valamides | Optometrist | 6060 Azle Ave. Suite 500, Lake Worth, TX 76135 | 2007-07-11 |
| 1457570053 | Dawn Denise Ezelle | Occupational Therapy Assistant | 3400 Marine Drive, Fort Worth, TX 76135 | 2007-04-24 |
| Find all providers in zip 76135 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173017 | Christina Helen Grudzinski | Marriage & Family Therapist | 6777 Camp Bowie Blvd Ste 332, Fort Worth, TX 76116-7196 | 2020-10-26 |
| 1174157325 | Deitra Baker | Marriage & Family Therapist | 9800 Hillwood Pkwy, Fort Worth, TX 76177-1527 | 2020-02-26 |
| 1861043713 | Jacob O Wasonga | Marriage & Family Therapist | 1124 Galveston Ave Ste B, Fort Worth, TX 76104-4878 | 2019-09-23 |
| 1831759208 | James Michael Jeffcoat | Marriage & Family Therapist | 4700 Bryant Irvin Ct Ste 203, Fort Worth, TX 76107-7645 | 2019-06-18 |
| 1154829455 | Edlyn Quintero | Marriage & Family Therapist | 226 Bailey Ave Ste 103, Fort Worth, TX 76107-1260 | 2018-02-01 |
| 1902335680 | New Horizon Counseling | Marriage & Family Therapist | 4255 Bryant Irvin Rd Ste 210, Fort Worth, TX 76109-4225 | 2017-06-07 |
| 1346786233 | Sunday Dieke | Marriage & Family Therapist | 10000 Calcite Dr, Fort Worth, TX 76131-3398 | 2017-01-16 |
| 1265899595 | Deliliah Lemons | Marriage & Family Therapist | 1512 W Gambrell St, Fort Worth, TX 76115-2207 | 2016-01-17 |
| 1134584501 | Carolyn V Becker | Marriage & Family Therapist | 4700 Keller Hicks Rd, Fort Worth, TX 76244-9663 | 2015-12-29 |
| 1114309101 | Zully Schultz | Marriage & Family Therapist | 1509b S. University Dr., Suite 212, Fort Worth, TX 76107 | 2015-06-25 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76135 |
Please comment or provide details below to improve the information on SUSAN SCHLOSSER.
| 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.