Susan Maureen McCarthy, LAC, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC2007 Issued in WA

Practice address

300 E 24TH St
Vancouver, WA 98663-3214

Phone

(360) 798-7625

Fax

(360) 529-0691

NPI assigned

May 4, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Flourish: a Space for Dimensional Healing

  • Acupuncturist
  • Vancouver, WA
  • NPI 1619141173
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013965169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 24TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633214",
            "telephone_number": "360-798-7625",
            "fax_number": "360-529-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 24TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633214",
            "telephone_number": "360-798-7625",
            "fax_number": "360-529-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "SUSAN",
        "middle_name": "MAUREEN",
        "name_prefix": "Mrs.",
        "credential": "LAC, LLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC2007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina M McCarrig, LMP
• Jesse A McCarron, MD
• Chelsea Micke McCarthy, EAMP (LAC)
• Hannah McCarthy
• Shannon N McCarthy, RN
• Garrett Layne McCartney
• Emily McCarty
• Janine Marie McCarty, RPH
• Mandy Grace McCarty
• Matthew Vernon McCarty, RPH

• Acupuncturist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.