Susan Goddard
Individual provider Active NPI Mental Health Counselor · Fernley, NV
NPI 1003354663 · NPPES record last updated Feb 3, 2017
Key facts
- NPI
- 1003354663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 415 US Highway 95a S
Suite 702G
Fernley, NV 89408-9261 - Phone
- (775) 575-2284
- NPI assigned
- Feb 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlas Counseling Center, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NV | Yes |
Addresses
Primary practice location
415 US Highway 95a S
Suite 702G
Fernley, NV 89408-9261
Mailing address
308 Edgebrook Dr
Spring Creek, NV 89815-5709
Phone (775) 401-1439
Other providers in Fernley, NV
- Leah Marie Gardner
- Jennifer Gattrell
- Angelina Geurts
- Schelbea Gillingham
- Marqueice Gilmore
- Golden Years Castle Property Holdings LLC
- Fiona Sophia Gomez
- Cynthia Gonzalez
- Richard Patrick Griffin
- Angela Guandique
All providers in Fernley, NV · Mental Health Counselor in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.