Individual provider Active NPI

Susan Garcia

  • Counselor
  • Yakima, WA
National Provider Identifier
1194242396
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
60631140 Issued in WA
Practice address
2280 State Route 821
Yakima, WA 98901-8302
Phone
(509) 457-1831
Fax
(509) 452-1221
NPI assigned
Aug 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 60631140 WA
Counselor 101Y00000X 60631140 WA Primary

Addresses

Primary practice location

2280 State Route 821
Yakima, WA 98901-8302

Mailing address

2280 State Route 821
Yakima, WA 98901-8302
Phone (095) 457-1831

Other names 1

  • Susan Garcia 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

State licenses

LicenseStateTypeSpecialty
60631140WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sundown M Ranch CurrentSince Sep 23, 2024 Accepting new patients
Sundown M Ranch PastSince Sep 23, 2024 Accepting new patients

Locations

2280 State Route 821
Yakima, WA 98901
Phone (509) 457-0990

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1194242396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 STATE ROUTE 821",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989018302",
            "telephone_number": "095-457-1831",
            "fax_number": "509-452-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 STATE ROUTE 821",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989018302",
            "telephone_number": "509-457-1831",
            "fax_number": "509-452-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "60631140",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "60631140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "GARCIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.