Susan Serge

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1560 Issued in WY

Practice address

812 E 4TH St
Gillette, WY 82716-4033

Phone

(307) 299-9989

NPI assigned

Aug 17, 2024

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

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hoskinson Health and Wellness Clinic LLCGroup PAC ID 1153706346, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.serge.1@26742.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/26742/brand/1/csg/1/fhir/r4

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.

• Hoskinson Health & Wellness Clinic LLC

  • Multi-Specialty Clinic/Center
  • Gillette, WY
  • NPI 1376280750
  Medicare reassignment Care Compare group NPD
• Hoskinson Health & Wellness Clinic LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Gillette, WY
  • NPI 1003628611
  NPD
• Volunteers of America Northern Rockies

  • Substance Abuse Rehabilitation Facility
  • Sheridan, WY
  • NPI 1689249682
  NPD

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

{
    "created_epoch": "1723852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723852800000",
    "number": "1548092513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 E 4TH ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 E 4TH ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164033",
            "telephone_number": "307-299-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERGE",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-17",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "1560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Schrock, DPT
• Ashlynn Schroyer
• Nancy Schutte
• Sharon Schwartz
• Desiree Scott
• Alisha Anne Serowka
• Sairav B Shah, M.D.
• Katherina A Shahan, NP-C
• Elizabeth Shandor, D.O.
• Barry Shannon, MSW

• Professional Counselor in Gillette, WY
• Providers in Gillette, WY by specialty
• Professional Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.