Individual provider Active NPI

Susan Elizabeth Radkins, MA, LMHC

  • Mental Health Counselor
  • Mount Vernon, WA
National Provider Identifier
1366568495
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00003894 Issued in WA
Practice address
406 S 1St St Ste 201
Mount Vernon, WA 98273-3897
Phone
(360) 336-0903
Fax
(360) 336-3270
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00003894 WA Primary

Addresses

Primary practice location

406 S 1St St Ste 201
Mount Vernon, WA 98273-3897

Mailing address

406 S. First Street, Suite 201
Mt. Vernon, WA 98237-3897
Phone (360) 336-0903

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH00003894WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366568495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 S. FIRST STREET, SUITE 201",
            "city": "MT. VERNON",
            "state": "WA",
            "postal_code": "982373897",
            "telephone_number": "360-336-0903",
            "fax_number": "360-336-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S 1ST ST STE 201",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733897",
            "telephone_number": "360-336-0903",
            "fax_number": "360-336-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADKINS",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00003894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

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.

Verify at the official NPI Registry.