Active NPI
Susan Lea Luallen, MFT
- Marriage & Family Therapist
- Chico, CA
National Provider Identifier
1023184579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 42259
- Practice address
- 564 Rio Lindo Avenue
Suite 204
Chico, CA 95926 - Phone
- (530) 879-3950
- Fax
- (530) 879-3949
- NPI assigned
- Nov 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 42259 | CA | Primary |
Addresses
Primary practice location
564 Rio Lindo Avenue
Suite 204
Chico, CA 95926
Mailing address
2602 Chico River Road
Chico, CA 95928
Phone (530) 343-8886
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42259 | Other | CA | BOARD OF BEHAVIORAL SCIEN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42259 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023184579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2602 CHICO RIVER ROAD",
"city": "CHICO",
"state": "CA",
"postal_code": "95928",
"telephone_number": "530-343-8886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "564 RIO LINDO AVENUE",
"address_2": "SUITE 204",
"city": "CHICO",
"state": "CA",
"postal_code": "95926",
"telephone_number": "530-879-3950",
"fax_number": "530-879-3949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUALLEN",
"first_name": "SUSAN",
"middle_name": "LEA",
"name_prefix": "Mrs.",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "42259",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SCIEN",
"identifier": "42259",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.