Individual provider Active NPI

Susannah Marie West, LCPC

  • Mental Health Counselor
  • Burley, ID
National Provider Identifier
1295023711
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8146 Issued in ID
Practice address
1360 Albion Ave
Burley, ID 83318-1818
Phone
(208) 878-7008
Fax
(208) 878-7009
NPI assigned
Jul 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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 8146 ID Primary

Addresses

Primary practice location

1360 Albion Ave
Burley, ID 83318-1818

Mailing address

1360 Albion Ave
Burley, ID 83318-1818
Phone (208) 878-7008

Other identifiers 1

IdentifierTypeStateIssuer
1295023711MedicaidID

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
8146IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Beginnings Counseling CurrentSince Mar 3, 2024 Accepting new patients

Locations

1360 Albion Ave
Burley, ID 83318
Phone (208) 431-1399

Organizations & group practices 1

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": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1295023711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 ALBION AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833181818",
            "telephone_number": "208-878-7008",
            "fax_number": "208-878-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 ALBION AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833181818",
            "telephone_number": "208-878-7008",
            "fax_number": "208-878-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "SUSANNAH",
        "middle_name": "MARIE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "8146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295023711",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burley, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.