Susan Flack, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60980741 Issued in WA

Practice address

2711 N 21St St
Tacoma, WA 98406-7519

Phone

(206) 422-0940

NPI assigned

Jun 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Susan Chalker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1427460948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6409 54TH ST NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983356649",
            "telephone_number": "206-696-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 N 21ST ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984067519",
            "telephone_number": "206-422-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLACK",
        "first_name": "SUSAN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60980741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "CHALKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• B. Ray Fitzgerald III, M.D.
• Karen L Fitzgerald, PHD, ARNP
• Laura Faith Fitzpatrick, P.T.
• Sarah Jean Fitzpatrick, MD
• Robert D. Flack, M.D.
• Caitlynn Rose Flagg
• Stephanie D. Flagg, M.D.
• Michael John Flaherty, M.D.
• Sean Flaherty, D.C.
• Eric M Flake, MD

• Mental Health Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.