Individual provider Active NPI

Nour Z. Suid, MA, PSYD

  • Professional Counselor
  • St Thomas, VI
National Provider Identifier
1306318613
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1-58423-1B Issued in VI
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1-58423-1BVIMDProfessional Counselor
005237CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Wellness & Counseling LLC CurrentSince Jan 21, 2024 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.

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.

Verify at the official NPI Registry.