Active NPI
Susan Maxwell Swan, EDS
- Professional Counselor
- Horse Shoe, NC
National Provider Identifier
1134440860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- NCLPC 1011
- Practice address
- 1875 Battle Creek Rd
Horse Shoe, NC 28742-4726 - Phone
- (828) 388-1875
- NPI assigned
- Jun 16, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NCLPC 1011 | NC | Primary |
Addresses
Primary practice location
1875 Battle Creek Rd
Horse Shoe, NC 28742-4726
Mailing address
1875 Battle Creek Rd
Horse Shoe, NC 28742-4726
Phone (828) 388-1875
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52144 | Other | NC | BLUE SHIELD |
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 |
|---|---|---|---|
| NCLPC 1011 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276646400000",
"number": "1134440860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1875 BATTLE CREEK RD",
"city": "HORSE SHOE",
"state": "NC",
"postal_code": "287424726",
"telephone_number": "828-388-1875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 BATTLE CREEK RD",
"city": "HORSE SHOE",
"state": "NC",
"postal_code": "287424726",
"telephone_number": "828-388-1875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAN",
"first_name": "SUSAN",
"middle_name": "MAXWELL",
"credential": "EDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-16",
"last_updated": "2010-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "NCLPC 1011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "52144",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Horse Shoe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.