Individual provider Active NPI

Susan B McConnell, LPT

  • Counselor
  • Mobile, AL
National Provider Identifier
1154482305
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPT 945 Issued in AL
Practice address
6576 Airport Blvd
BLDG B Ste 200
Mobile, AL 36608-6768
Phone
(251) 342-4707
Fax
(251) 342-4724
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPT 945 AL Primary

Addresses

Primary practice location

6576 Airport Blvd
BLDG B Ste 200
Mobile, AL 36608-6768

Mailing address

6576 Airport Blvd
BLDG B Ste 200
Mobile, AL 36608-6768
Phone (251) 342-4707

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

LicenseStateTypeSpecialty
LPT 945ALMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1154482305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6576 AIRPORT BLVD",
            "address_2": "BLDG B STE 200",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086768",
            "telephone_number": "251-342-4707",
            "fax_number": "251-342-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6576 AIRPORT BLVD",
            "address_2": "BLDG B STE 200",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086768",
            "telephone_number": "251-342-4707",
            "fax_number": "251-342-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "SUSAN",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "LPT 945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.