Susan Bouse, M.ED.
Individual provider Active NPI School Counselor · Moore, OK
NPI 1376473371 · NPPES record last updated May 21, 2026
Key facts
- NPI
- 1376473371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Counselor 101YS0200X
- License
- 440925 (OK)
- Practice address
- 624 NW 5TH St
Moore, OK 73160-3924 - Phone
- (405) 799-3379
- NPI assigned
- May 21, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 440925 | OK | MD | School Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 440925 | OK | Yes |
Addresses
Primary practice location
624 NW 5TH St
Moore, OK 73160-3924
Mailing address
624 NW 5TH St
Moore, OK 73160-3924
Phone (405) 799-3379
Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.