Individual provider Active NPI

Susan Norris, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • College Station, TX
National Provider Identifier
1316679202
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
13704 Issued in TX
Practice address
1651 Rock Prairie Rd Ste 101
College Station, TX 77845-8652
Phone
(979) 599-9580
Fax
(979) 485-0674
NPI assigned
Jun 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13704 TX Primary

Addresses

Primary practice location

1651 Rock Prairie Rd Ste 101
College Station, TX 77845-8652

Mailing address

1651 Rock Prairie Rd
College Station, TX 77845-8652
Phone (979) 599-9580

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
13704TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Symetria Health of Texas, L.L.C. CurrentSince Jun 25, 2023 Accepting new patients
Symetria Health of Texas, LLC CurrentSince Jul 3, 2022 Accepting new patients
Symetria Health of Texas, LLC Past Accepting new patients
Symetria Health of Texas, L.L.C. Past Accepting new patients
Symetria Health of Texas, LLC Past Accepting new patients
Symetria Health of Texas, LLC Past Accepting new patients
Symetria Health of Texas, L.L.C. Past Accepting new patients

Locations

2623 Matlock Rd
Ste 106
Arlington, TX 76015

7229 Hawkins View Dr
Ft Worth, TX 76132
Phone (817) 377-8820

1813 Harwood Ct
Ste 400
Hurst, TX 76054

17347 Village Green Dr
Ste 104
Jersey Village, TX 77040
Phone (281) 343-3654

1850 Lakepointe Dr
Ste 400
Lewisville, TX 75057
Phone (972) 316-0262

635 Rayford Rd
Ste E
Spring, TX 77386
Phone (630) 621-9220

Organizations & group practices 7

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": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1316679202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 ROCK PRAIRIE RD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458652",
            "telephone_number": "979-599-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 ROCK PRAIRIE RD STE 101",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458652",
            "telephone_number": "979-599-9580",
            "fax_number": "979-485-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "SUSAN",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.