Active NPI
Suzy Ganer
- Professional Counselor
- Jackson, WY
National Provider Identifier
1336592674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PPC-951
- Practice address
- 480 S Cache St
Suite 14
Jackson, WY 83001-8222 - Phone
- (307) 690-5398
- NPI assigned
- Jul 21, 2016
- Last updated
- Jul 21, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PPC-951 | WY | Primary |
Addresses
Primary practice location
480 S Cache St
Suite 14
Jackson, WY 83001-8222
Mailing address
PO Box 2299
Jackson, WY 83001-2299
Phone (307) 690-5398
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 |
|---|---|---|---|
| PPC-951 | WY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TBT, LLC | Past | 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": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469059200000",
"number": "1336592674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2299",
"city": "JACKSON",
"state": "WY",
"postal_code": "830012299",
"telephone_number": "307-690-5398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 S CACHE ST",
"address_2": "SUITE 14",
"city": "JACKSON",
"state": "WY",
"postal_code": "830018222",
"telephone_number": "307-690-5398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANER",
"first_name": "SUZY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-21",
"last_updated": "2016-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "PPC-951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.