Individual provider Active NPI

Susan Snyder Owen, PHD

  • Mental Health Counselor
  • Sherman, TX
National Provider Identifier
1225124951
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC 18459 Issued in TX
Practice address
2001 N Loy Lake Rd Ste J
Sherman, TX 75090-2837
Phone
(903) 487-5520
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC 18459 TX Primary

Addresses

Primary practice location

2001 N Loy Lake Rd Ste J
Sherman, TX 75090-2837

Mailing address

220 Hacienda Dr
Pottsboro, TX 75076-4590
Phone (903) 327-5300

Other practice location 1

910 Cottonwood Dr
Sherman, TX 75090-2831
Phone (903) 957-0440

Other identifiers 2

IdentifierTypeStateIssuer
6617LCOtherTXBLUE CROSS BLUE SHIELD
1609935-02MedicaidTX

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LPC 18459TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Perdue Therapy Group LLC CurrentSince Nov 15, 2020 Accepting new patients
Childrens Advocacy Center of Grayson County Past Accepting new patients

Locations

2001 N Loy Lake Rd
Ste J
Sherman, TX 75090
Phone (903) 487-5520

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1225124951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HACIENDA DR",
            "city": "POTTSBORO",
            "state": "TX",
            "postal_code": "750764590",
            "telephone_number": "903-327-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N LOY LAKE RD STE J",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902837",
            "telephone_number": "903-487-5520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Cottonwood Dr",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "750902831",
            "country_code": "US",
            "telephone_number": "903-957-0440",
            "fax_number": "903-957-0429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWEN",
        "first_name": "SUSAN",
        "middle_name": "SNYDER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-11-13",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "LPC 18459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "6617LC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609935-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.