Susan Diane James, LPC
Individual provider Active NPI Professional Counselor · Cottleville, MO
NPI 1083253124 · NPPES record last updated Jan 6, 2020
Key facts
- NPI
- 1083253124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2017043247 (MO)
- Practice address
- 5336 Main St
Cottleville, MO 63304-8002 - Phone
- (314) 413-3200
- NPI assigned
- Jan 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 2017043247 | MO | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2017043247 | MO | Yes |
Addresses
Primary practice location
5336 Main St
Cottleville, MO 63304-8002
Mailing address
440 Matts Way
Defiance, MO 63341-2525
Phone (314) 413-3200
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://susan-james.clientsecure.me/home | Direct |
Other providers in Cottleville, MO
- Carley Hall
- Thomas J Harrison
- Corrie Beth Hitzelberger
- Honest Family Medicine
- Katie Huber
- Samantha Johnson
- Mark Joiner
- Taylor William Keen
- Michael Lear Jr.
- Danielle Lorenscheit
All providers in Cottleville, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2020. 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.