Active NPI
Paul P Susac, LMHC
- Mental Health Counselor
- Spokane, WA
National Provider Identifier
1306143888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00009168
- Practice address
- 308 W 1St Ave Ste 309
Spokane, WA 99201-6002 - Phone
- (509) 220-1564
- NPI assigned
- Feb 18, 2011
- Last updated
- Feb 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00009168 | WA | Primary |
Addresses
Primary practice location
308 W 1St Ave Ste 309
Spokane, WA 99201-6002
Mailing address
308 W 1St Ave Ste 309
Spokane, WA 99201-6002
Phone (509) 220-1564
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
| License | State | Type | Specialty |
|---|---|---|---|
| LH00009168 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297987200000",
"number": "1306143888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 W 1ST AVE STE 309",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992016002",
"telephone_number": "509-220-1564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 W 1ST AVE STE 309",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992016002",
"telephone_number": "509-220-1564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUSAC",
"first_name": "PAUL",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-18",
"last_updated": "2011-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00009168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
- Bethany Suppes, LMFT
- Cari Lynn Surface, MSW
- Surgical Specialists of Spokane
- Virginia Ann Suriano Myers, LMT
- Surround Me Mental Health PLLC
- Susan C Hecker MD, PLLC
- Susan Madelaine Warto
- Susan Mahan Kohls DDS PS
- Susan P Walther Steven E Walther (Studio Pilates and Physical Therapy)
- Svetlana Veniaminova Susina, RDH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.