Active NPI
Susan Joye Lee, LPC-MHSP, RPT, SUP.
- Mental Health Counselor
- Memphis, TN
National Provider Identifier
1124026794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2128
- Practice address
- 6510 Stage Rd
Suite 3
Memphis, TN 38134-3892 - Phone
- (901) 488-3123
- NPI assigned
- Jul 8, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 14555 | TX | |
| Mental Health Counselor | 101YM0800X | 2128 | TN | Primary |
Addresses
Primary practice location
6510 Stage Rd
Suite 3
Memphis, TN 38134-3892
Mailing address
9247 Speerberry Cir
Cordova, TN 38016-2399
Phone (901) 251-4457
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11737193 | Other | TN | CAQH |
| 4154354 | Other | TN | BCBS OF TN |
| 10043951 | Other | TN | AMERICAN BEHAVIORAL |
| 84528L | Other | TX | BCBS |
Other names 1
- Ms. Susan Joye Biederstadt
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 |
|---|---|---|---|
| 2128 | TN | MD | Chiropractor |
| 14555 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1124026794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9247 SPEERBERRY CIR",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380162399",
"telephone_number": "901-251-4457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6510 STAGE RD",
"address_2": "SUITE 3",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381343892",
"telephone_number": "901-488-3123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SUSAN",
"middle_name": "JOYE",
"name_prefix": "Mrs.",
"credential": "LPC-MHSP, RPT, SUP.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-08",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "14555",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "2128",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11737193",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "4154354",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN BEHAVIORAL",
"identifier": "10043951",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "84528L",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "BIEDERSTADT",
"middle_name": "JOYE",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.