Suzanne W Tomlin, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

17645 Issued in TX

Practice address

13480 Oakwood Dr
Chandler, TX 75758

Phone

(903) 714-2597

Fax

(903) 849-3847

NPI assigned

Aug 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Ms. Suzanne W Cavender Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174530547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13480 OAKWOOD DR",
            "city": "CHANDLER",
            "state": "TX",
            "postal_code": "75758",
            "telephone_number": "903-849-3844",
            "fax_number": "903-849-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13480 OAKWOOD DR",
            "city": "CHANDLER",
            "state": "TX",
            "postal_code": "75758",
            "telephone_number": "903-714-2597",
            "fax_number": "903-849-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMLIN",
        "first_name": "SUZANNE",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17645",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2001013208",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "796",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "6504LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "CAVENDER",
            "middle_name": "W",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jovany Sanchez, RN
• Alison H Shelton, PTA
• South Limestone Hospital District (Chandler Nursing Center)
• Joe Spradley
• Kayonna Marie Taylor, RBT
• Carolyn Renae Traywick, LPC
• Trinity Clinic (Trinity Clinic Chandler)
• Malinda Ulm, MS
• Walgreen Co (Walgreens #21513)
• Katrina Beth White, LVN

• Professional Counselor in Chandler, TX
• Providers in Chandler, TX by specialty
• Professional Counselor in Texas

• 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.