Susan Edith Brumm, LPCC, LMHC
Individual provider Active NPI Mental Health Counselor · Oakdale, CA
NPI 1023129137 · NPPES record last updated Jan 11, 2013
Key facts
- NPI
- 1023129137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 115 (CA)
- Practice address
- 603 W F St
Oakdale, CA 95361-3734 - Phone
- (209) 404-6283
- Fax
- (209) 848-8825
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115 | CA | MD | Mental Health Counselor |
| 39001787A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspring Counseling Ministries, a Project of Ucp | Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39001787A | IN | |
| Mental Health Counselor | 101YM0800X | 115 | CA | Yes |
Addresses
Primary practice location
603 W F St
Oakdale, CA 95361-3734
Mailing address
603 W F St
Oakdale, CA 95361-3734
Phone (209) 404-6283
Other providers in Oakdale, CA
- Nicole Bowen
- Danielle Elise Christina Boyd
- Braden Partners LP
- John Taylor Brennan
- Sharon A Briar-Garner
- Janet R Busic
- Kymberli Suzanne Buyer
- Sandra Jean Cadra
- Cal Sport Physical Medicine Inc
- Catherine Darlene Calvin
All providers in Oakdale, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2013. 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.