Individual provider Active NPI

Susan Lynn Davis-Marsters, MA, NCC, CSW, LPC

  • Professional Counselor
  • Bordentown, NJ
National Provider Identifier
1386959963
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00175900 Issued in NJ
Practice address
33 Third St FL 2
Bordentown, NJ 08505-1369
Phone
(609) 915-1197
Fax
(609) 372-4196
NPI assigned
Aug 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SW01356400 NJ
Professional Counselor 101YP2500X 37PC00175900 NJ Primary

Addresses

Primary practice location

33 Third St FL 2
Bordentown, NJ 08505-1369

Mailing address

33 3Rd St FL 2
Bordentown, NJ 08505-1369
Phone (609) 915-1197

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
37PC00175900NJMDProfessional Counselor
44SW01356400NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1281225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1386959963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 3RD ST FL 2",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085051369",
            "telephone_number": "609-915-1197",
            "fax_number": "609-372-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 THIRD ST FL 2",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085051369",
            "telephone_number": "609-915-1197",
            "fax_number": "609-372-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-MARSTERS",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MA, NCC, CSW, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-08",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SW01356400",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00175900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bordentown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.