Susan Jane Adams, TCADC, TCM

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

269358 Issued in KY

Practice address

9245 W Highway 80
Nancy, KY 42544-8767

Phone

(606) 288-0013

Fax

(606) 288-0013

NPI assigned

Nov 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Gratitude Adjustment

  • Multi-Specialty Clinic/Center
  • Nancy, KY
  • NPI 1194482414

  Addiction (Substance Use Disorder)

  NPD
• Gratitude Adjustment

  • Multi-Specialty Clinic/Center
  • Nancy, KY
  • NPI 1194548420
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1326705658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 VIEW POINT DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425039733",
            "telephone_number": "606-875-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 W HIGHWAY 80",
            "city": "NANCY",
            "state": "KY",
            "postal_code": "425448767",
            "telephone_number": "606-288-0013",
            "fax_number": "606-288-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "SUSAN",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "TCADC, TCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "269358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 4Friends, Inc.
• Tammy Jo Baker, RN
• Ami Brooke Beckman, TCADC, MSW
• Rebekah Walters Branscum, D.M.D.
• Sarah Elizabeth Brown, APRN
• Mary Ann Coyle, MA

• All providers in Nancy, KY
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.