Susan Renee Tridle

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3805 Lower Beaver Rd
Des Moines, IA 50310-4708

Phone

(515) 279-0111

NPI assigned

Aug 27, 2021

Sex

Female

Sole proprietor

No

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.

• Jackson Recovery Centers, Inc.

  • Substance Abuse Rehabilitation Facility
  • Sioux City, IA
  • NPI 1811994973
  Medicare reassignment Care Compare group NPD IA
• Choices Therapy Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Des Moines, IA
  • NPI 1700471505
  NPD
• Crossroads Behavioral Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Creston, IA
  • NPI 1053694802
  NPD
• Choices Therapy Services, LLC

  • Mental Health Counselor
  • Des Moines, IA
  • NPI 1932763521
  NPD (past) MENTAL HEALTH

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson Recovery Centers Inc 8 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 27, 2021.

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1285301176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 310TH ST",
            "city": "ORIENT",
            "state": "IA",
            "postal_code": "508588017",
            "telephone_number": "641-745-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 LOWER BEAVER RD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503104708",
            "telephone_number": "515-279-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIDLE",
        "first_name": "SUSAN",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Trecker
• Tree of Life Therapy and Counseling Services
• Jennifer Chung Trevillyan, ARNP
• Coralynn Becker Trewet, PHARM.D., M.S.
• John T Triantafyllos, M.D.
• Megan Trimble, CTRS
• Steven Alan Trinder I, RPH
• Trinity Center
• Trinity Center at Luther Park
• Trinity Home Health Services

• All providers in Des Moines, IA
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.