Active NPI
Susan Stevens, LMFT
- Marriage & Family Therapist
- Sandpoint, ID
National Provider Identifier
1326188657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT-2843
- Practice address
- 212 N 1St Ave Ste G100
Sandpoint, ID 83864-1400 - Phone
- (208) 255-2004
- Fax
- (208) 255-2017
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT-2843 | ID | Primary |
Addresses
Primary practice location
212 N 1St Ave Ste G100
Sandpoint, ID 83864-1400
Mailing address
PO Box 2021
Sandpoint, ID 83864-0906
Phone (208) 255-2004
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 |
|---|---|---|---|
| LMFT-2843 | ID | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creekside Counseling Center | Marriage & Family Therapist | Past | Accepting new patients |
| New Horizons Counseling Center | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- Sandpoint, ID
- NPI 1972626182
-
- Clinical Social Worker
- Sandpoint, ID
- NPI 1235271131
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326188657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2021",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838640906",
"telephone_number": "208-255-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 N 1ST AVE STE G100",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838641400",
"telephone_number": "208-255-2004",
"fax_number": "208-255-2017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ID",
"license": "LMFT-2843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandpoint, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.