Active NPI
Evelyn H. Suda, MA
- Professional Counselor
- Hagatna, GU
National Provider Identifier
1477024271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- IMF102
- Practice address
- 222 Chalan Santo Papa
Reflection Center Suite 102
Hagatna, GU 96910 - Phone
- (671) 472-0218
- NPI assigned
- Dec 6, 2018
- Last updated
- Dec 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IMF102 | GU | Primary |
Addresses
Primary practice location
222 Chalan Santo Papa
Reflection Center Suite 102
Hagatna, GU 96910
Mailing address
PO Box 25126
Barrigada, GU 96921-5126
Phone (671) 988-4570
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF102 | GU | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westcare Pacific Islands | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Hagatna, GU
- NPI 1689188377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1477024271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25126",
"city": "BARRIGADA",
"state": "GU",
"postal_code": "969215126",
"telephone_number": "671-988-4570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 CHALAN SANTO PAPA",
"address_2": "REFLECTION CENTER SUITE 102",
"city": "HAGATNA",
"state": "GU",
"postal_code": "96910",
"telephone_number": "671-472-0218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDA",
"first_name": "EVELYN",
"middle_name": "H.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-06",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GU",
"license": "IMF102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagatna, GU
- Valerie K Reyes, MA,IMFT,ICADC, CSAC
- Amy C Romero, LPC
- Rsa - Guam, LLC (U.S. Renal Care Tamuning Dialysis)
- Edward Lee Santos, PH.D.
- Rosae Camarin Shandor, R.D.N.
- Lorraine S. Sunga, O.D.
- Rayner D. Terlaje, D.D.S.,M.S.
- The Pediatric Dental Center (Franasco Romero DDS MSD PC)
- Annie Unpingco
- Gerson Sanchez Valles, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.