Individual provider Active NPI

Susan C Colavito

  • Professional Counselor
  • Oriental, NC
National Provider Identifier
1346437399
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
766 Issued in NC
Practice address
506 North Street
Oriental, NC 28571-9130
Phone
(252) 675-5026
NPI assigned
Oct 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 766 NC Primary
Marriage & Family Therapist 106H00000X 743 NC

Addresses

Primary practice location

506 North Street
Oriental, NC 28571-9130

Mailing address

197 Neuse Winds Dr
Oriental, NC 28571-9130
Phone (252) 249-1775

Other names 1

  • Susan C Garvey Other name

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
743NCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1346437399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 NEUSE WINDS DR",
            "city": "ORIENTAL",
            "state": "NC",
            "postal_code": "285719130",
            "telephone_number": "252-249-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 NORTH STREET",
            "city": "ORIENTAL",
            "state": "NC",
            "postal_code": "285719130",
            "telephone_number": "252-675-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLAVITO",
        "first_name": "SUSAN",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "766",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "GARVEY",
            "middle_name": "C",
            "credential": "LPC, MFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oriental, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.