Susan Renee Bernard, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00006783 Issued in WA

Practice address

2722 Colby Ave
#425
Everett, WA 98201-3557

Phone

(425) 335-9155

NPI assigned

May 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124236526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 COLBY AVE",
            "address_2": "#425",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013557",
            "telephone_number": "425-335-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 COLBY AVE",
            "address_2": "#425",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013557",
            "telephone_number": "425-335-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "SUSAN",
        "middle_name": "RENEE",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00006783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Irene Berglund, R.N.
• Ashley Ann Bergner
• Judith Anna Bergsagel, CCC SLP
• Kylee Berlin, B.S.
• Serena P Bermudez, M.H.P.
• Eileen F Bernat, PH.D.
• Holly Anne Bernstein
• Ayanna Bernstine
• Stephen E. Berry, PT
• Kathryn Leona Bertrand

• Mental Health Counselor in Everett, WA
• Providers in Everett, WA by specialty
• Mental Health Counselor in Washington

• 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.

Verify at the official NPI Registry.