Susan M Doak, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC2835 Issued in OR

Practice address

901 N Brutscher St.
Ste 204
Newberg, OR 97132-6096

Phone

(503) 994-8424

Fax

(503) 554-9967

NPI assigned

Aug 10, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Newberg Counseling & Wellness, LLC

  • Professional Counselor
  • Newberg, OR
  • NPI 1164923041
  NPD Authorized official
• Portland Relationship Institute

  • Mental Health Counselor
  • Tigard, OR
  • NPI 1942619655
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1174534556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N BRUTSCHER ST.",
            "address_2": "STE 204",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971326096",
            "telephone_number": "503-994-8424",
            "fax_number": "503-554-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N BRUTSCHER ST.",
            "address_2": "STE 204",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971326096",
            "telephone_number": "503-994-8424",
            "fax_number": "503-554-9967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7100 SW Hampton St",
            "address_2": "Suite 128",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972238315",
            "country_code": "US",
            "telephone_number": "503-342-2510",
            "fax_number": "503-406-2637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7100 SW Hampton St",
            "address_2": "Suite 128",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972238315",
            "country_code": "US",
            "telephone_number": "503-342-2510",
            "fax_number": "503-406-2637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOAK",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C2835",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "LPC2835",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "LPC2835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OREGON BOARD OF LICENSED PROFESSIONAL COUNSELORS AND THERAPISTS",
            "identifier": "C2835",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Deselms, APRN, FNP-C, CFMP
• Asa Marie Atwater Di Carlo, PA-C
• Lauren Elizabeth Dial
• Joshua Dean Dillard, CRNA
• Jeffrey D Disney, MD
• Donald W. Skei, D.C., P.C.
• Laura Michelle Donart, SLP
• Todd Doyle, MD
• Dr. Marsha a. Green, L.L.C.
• Dr. Mojica Therapy LLC

• Counselor in Newberg, OR
• Providers in Newberg, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.