Susan King, ARNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Roy, WA
NPI 1194121798 · NPPES record last updated Jun 14, 2022
Key facts
- NPI
- 1194121798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- AP60439687 (WA)
- Practice address
- 28018 11TH Ave E
Roy, WA 98580-9565 - Phone
- (253) 204-8309
- NPI assigned
- Nov 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Alliance for South Sound Health
Western Psychological and Counseling Services LLC
Practice addresses (Care Compare)
3402 S 19TH St
Tacoma, WA 98405-2487
Phone (253) 301-5400
5909 Orchard St W
Tacoma, WA 98467-3824
Phone (253) 475-6021
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150312000934 | WA | Practitioner - Nurse Practitioner | 4082930961 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Psychological and Counseling Services LLC | Current |
Accepting new patients | |
| Alliance for South Sound Health | Current |
Accepting new patients | |
| Western Psychological and Counseling Services LLC | Past | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
6210 75th St W
Ste 100
Lakewood, WA 98499
Phone (253) 345-5720
3402 S 19th St
Tacoma, WA 98405
Phone (253) 301-5400
19120 SE 34th St
Ste 201
Vancouver, WA 98683
Phone (360) 906-1190
Interoperability endpoints
- lifestancehealth.susanking@147765.advancedmd-direct.com
- sking53053@direct.multicare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60439687 | WA | Yes |
Addresses
Primary practice location
28018 11TH Ave E
Roy, WA 98580-9565
Mailing address
28018 11TH Ave E
Roy, WA 98580-9565
Phone (253) 204-8309
Other practice location 1
811 Madison St
Everett, WA 98203-4543
Phone (425) 212-4200
Other providers in Roy, WA
- Helaina Greb
- Kayla Marie Hay
- Dana Corinne Hill
- Jessica Hughes
- Edmund F Jacobs Jr.
- Shawn Stacy Kramer
- Barbara L. Malm
- Eddah Njoki Mbugua
- McKenna Chiropractic Center PS
- David McNeeley
All providers in Roy, WA · Psychiatric/Mental Health Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.