Individual provider Active NPI

Suzanne Jeanette Priebe, PH.D

  • Clinical Psychologist
  • Evergreen, CO
National Provider Identifier
1346374261
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0006046 Issued in CO
Practice address
5380 Three Sisters Cir
Evergreen, CO 80439-7501
Phone
(847) 406-6359
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.007054 IL
Clinical Psychologist 103TC0700X PSY.0006046 CO Primary

Addresses

Primary practice location

5380 Three Sisters Cir
Evergreen, CO 80439-7501

Mailing address

5380 Three Sisters Cir
Evergreen, CO 80439-7501
Phone (847) 406-6359

Other names 1

  • Suzanne Jeanette Hester Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191216001725 IL Practitioner - Clinical Psychologist 1951383504
I20250916000561 CO Practitioner - Clinical Psychologist 1951383504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5380 Three Sisters Cir
Evergreen, CO 80439-7501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071.007054ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Counseling Center PastSince Jul 12, 2017 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1346374261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 THREE SISTERS CIR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397501",
            "telephone_number": "847-406-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 THREE SISTERS CIR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397501",
            "telephone_number": "847-406-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIEBE",
        "first_name": "SUZANNE",
        "middle_name": "JEANETTE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007054",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0006046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "HESTER",
            "middle_name": "JEANETTE",
            "credential": "PH.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evergreen, CO

Sources for this page

Verify at the official NPI Registry.