Active NPI
Susan Irene Courneya, B.A.
- Mental Health Counselor
- Maplewood, MN
National Provider Identifier
1508134099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2115 County Road D E
Suite B
Maplewood, MN 55109-5353 - Phone
- (651) 748-5019
- Fax
- (651) 773-7591
- NPI assigned
- Dec 12, 2011
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2115 County Road D E
Suite B
Maplewood, MN 55109-5353
Mailing address
2115 County Road D E
Suite B
Maplewood, MN 55109-5353
Phone (651) 748-5019
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)
- Enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1010 | MN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bachmann and Associates, Inc | Current | Accepting new patients |
Locations
8669 Eagle Point Blvd
Lake Elmo, MN 55042
Phone (651) 379-0444
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 and National Provider Directory roles.
-
dba Counseling Care
- Substance Use Disorder Rehabilitation Clinic/Center
- Lake Elmo, MN
- NPI 1144210899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1508134099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 COUNTY ROAD D E",
"address_2": "SUITE B",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551095353",
"telephone_number": "651-748-5019",
"fax_number": "651-773-7591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 COUNTY ROAD D E",
"address_2": "SUITE B",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551095353",
"telephone_number": "651-748-5019",
"fax_number": "651-773-7591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURNEYA",
"first_name": "SUSAN",
"middle_name": "IRENE",
"credential": "B.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-12",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, MN
- Corner Medical LLC
- Costco Wholesale Corporation (Costco Optical #1021)
- Costco Wholesale Corporation (Costco Hearing Aid #1021)
- Costco Wholesale Corporation (Costco Pharmacy # 1021)
- County of Ramsey
- Charisse Margaret Courteau, OTR/L
- Coventry Senior Living of Maplewood, LLC
- Mara Coyle, LPCC ATR
- Rodney L Coyour, CRNA
- Stacie L Crawford, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.