Individual provider Active NPI

Susan Lynne Cahill, LPC

  • Professional Counselor
  • Buckeye, AZ
National Provider Identifier
1245759364
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-20196 Issued in AZ
Practice address
26428 MC 85
Buckeye, AZ 85326
Phone
(480) 848-4662
NPI assigned
Sep 11, 2017
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X PPC-1031 WY
Mental Health Counselor 101YM0800X PPC-1031 WY
Professional Counselor 101YP2500X PPC-1031 WY
Professional Counselor 101YP2500X LPC-20196 AZ Primary

Addresses

Primary practice location

26428 MC 85
Buckeye, AZ 85326

Mailing address

27183 W Ross Ave
Buckeye, AZ 85396-6946
Phone (307) 680-2771

Other identifiers 1

IdentifierTypeStateIssuer
LPC-20196OtherAZBOARD OF BEHAVIORAL HEALTH EXAMINERS

Other names 1

  • Ms. Susan Lynne Cherry Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SusanCa@sbhservices.org Health Information Exchange (HIE)

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
LPC-20196AZMDProfessional Counselor
PPC-1031WYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling Center of Mercer County Multi-Specialty Past Accepting new patients
Southwest Behavioral Health Service Past Accepting new patients
Patricia Ruth Nesbit Addiction (Substance Use Disorder) PastSince Jul 1, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: susanca@sbhservices.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1245759364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27183 W ROSS AVE",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853966946",
            "telephone_number": "307-680-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26428 MC 85",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "85326",
            "telephone_number": "480-848-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHILL",
        "first_name": "SUSAN",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WY",
            "license": "PPC-1031",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "PPC-1031",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "PPC-1031",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-20196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL HEALTH EXAMINERS",
            "identifier": "LPC-20196",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SusanCa@sbhservices.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "26428 MC 85",
            "city": "Buckeye",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "CHERRY",
            "middle_name": "LYNNE",
            "prefix": "MS.",
            "credential": "NONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.