Active NPI
Susan Lynn, MSW
- Mental Health Counselor
- Springfield, MA
National Provider Identifier
1184675282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 103986
- Practice address
- BRM 759 Chestnut Street
Springfield, MA 01199-0001 - Phone
- (413) 794-1857
- Fax
- (413) 794-1857
- NPI assigned
- May 13, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 103986 | MA | Primary |
Addresses
Primary practice location
BRM 759 Chestnut Street
Springfield, MA 01199-0001
Mailing address
205 Colony Rd
Longmeadow, MA 01106-1255
Phone (413) 794-1952
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103986 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1184675282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 COLONY RD",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011061255",
"telephone_number": "413-794-1952",
"fax_number": "413-794-1857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BRM 759 CHESTNUT STREET",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011990001",
"telephone_number": "413-794-1857",
"fax_number": "413-794-1857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNN",
"first_name": "SUSAN",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-13",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "103986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.