Individual provider Active NPI

Susan Dianne Monson, M.ED, LPC, RPT

  • Professional Counselor
  • Rogers, AR
National Provider Identifier
1184723207
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P0303007 Issued in AR
Practice address
1 Halsted Cir
Suite 3
Rogers, AR 72756-3185
Phone
(479) 631-1189
NPI assigned
Sep 22, 2006
Last updated
Feb 27, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P0303007 AR Primary

Addresses

Primary practice location

1 Halsted Cir
Suite 3
Rogers, AR 72756-3185

Mailing address

PO Box 1035
Rogers, AR 72757-1035
Phone (479) 631-1189

Other identifiers 1

IdentifierTypeStateIssuer
5Y345OtherARBLUE CROSS/BLUE SHIELD

Other names 1

  • Susan Dianne Butler Former name

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
P0303007ARMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235692800000",
    "number": "1184723207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1035",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727571035",
            "telephone_number": "479-631-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HALSTED CIR",
            "address_2": "SUITE 3",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563185",
            "telephone_number": "479-631-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONSON",
        "first_name": "SUSAN",
        "middle_name": "DIANNE",
        "credential": "M.ED, LPC, RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2009-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P0303007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "5Y345",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BUTLER",
            "middle_name": "DIANNE",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.