Active NPI
Nour Z. Suid, MA, PSYD
- Professional Counselor
- St Thomas, VI
National Provider Identifier
1306318613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1-58423-1B
- Practice address
- 5316 Yacht Haven Grande Ste S104
St Thomas, VI 00802-5027 - Phone
- (340) 513-0418
- NPI assigned
- Dec 27, 2018
- Last updated
- Aug 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 005237 | CT | |
| Professional Counselor | 101YP2500X | 1-58423-1B | VI | Primary |
Addresses
Primary practice location
5316 Yacht Haven Grande Ste S104
St Thomas, VI 00802-5027
Mailing address
PO Box 302278
St Thomas, VI 00803-2278
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-58423-1B | VI | MD | Professional Counselor |
| 005237 | CT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Wellness & Counseling LLC | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Usvi, VI
- NPI 1538920327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1306318613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 302278",
"city": "ST THOMAS",
"state": "VI",
"postal_code": "008032278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5316 YACHT HAVEN GRANDE STE S104",
"city": "ST THOMAS",
"state": "VI",
"postal_code": "008025027",
"telephone_number": "340-513-0418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUID",
"first_name": "NOUR",
"middle_name": "Z.",
"name_prefix": "Dr.",
"credential": "MA, PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-27",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "005237",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VI",
"license": "1-58423-1B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Thomas, VI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.