Active NPI
Susan C. Lee, LPC
- Professional Counselor
- Salem, OR
National Provider Identifier
1528248887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C1840
- Practice address
- 1675 Winter St NE
Salem, OR 97301-7152 - Phone
- (503) 585-0351
- NPI assigned
- Nov 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | C1840 | OR | Primary |
Addresses
Primary practice location
1675 Winter St NE
Salem, OR 97301-7152
Mailing address
2200 Thorne St
Newberg, OR 97132-9517
Phone (503) 980-5672
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1840 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Perspectives Center for Counseling & Therapy | Past | Accepting new patients | |
| Optum Behavioral Care of Colorado, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Salem, OR
- NPI 1063462281
-
- Clinical Social Worker
- De Pere, WI
- NPI 1396622494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194220800000",
"number": "1528248887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 THORNE ST",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971329517",
"telephone_number": "503-980-5672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 WINTER ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973017152",
"telephone_number": "503-585-0351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SUSAN",
"middle_name": "C.",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-05",
"last_updated": "2007-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C1840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.