Susan Lee McCrae

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

107 Dell Villa Dr SE
Salem, OR 97302-4707

Phone

(503) 589-4363

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508082736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 DELL VILLA DR SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024707",
            "telephone_number": "503-589-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 DELL VILLA DR SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024707",
            "telephone_number": "503-589-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAE",
        "first_name": "SUSAN",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly R McCormick, MD
• Jordan D McCourry, LMT
• Jeffery Scott McCoy, PHARM. D
• Chelsey McCracken
• McCrae Management & Investments, LTD.
• Megan Kathleen McCrossin, NP, CNM
• Jodie Delina McCue, OT
• Lavena H McCullum, APRN
• Ryan A. McDaid, D.C.
• Nicole Marie McDavid, MT-BC

• Mental Health Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Mental Health Counselor in Oregon

• 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.