Susan Jerald, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60170431 Issued in WA

Practice address

2205 W Woodin Ave
Chelan, WA 98816-9310

Phone

(509) 366-6097

Fax

(509) 271-4471

NPI assigned

Aug 18, 2015

Last updated

Aug 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1528434164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 W SUNRISE PR NW",
            "city": "BENTON CITY",
            "state": "WA",
            "postal_code": "993208652",
            "telephone_number": "509-366-6097",
            "fax_number": "509-271-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 W WOODIN AVE",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988169310",
            "telephone_number": "509-366-6097",
            "fax_number": "509-271-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERALD",
        "first_name": "SUSAN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60170431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Marsailes Hollingsworth, RN
• John William Horlebein, DPM
• Bruce F Hurst, DC
• Angela Kristine Jacobs
• Michele L James, RDH
• Beverly Renita Kaunda, PMHNP
• Patti Kelley
• Zane Cornel Kelley
• Emily Kinnear
• Mary Celeste Klingner, M.D.

• Mental Health Counselor in Chelan, WA
• Providers in Chelan, 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 Aug 18, 2015; 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.