Susan Maud Greenhoe, LPCC LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1842 Issued in MN

Practice address

13895 Industrial Park Blvd Ste 140
Plymouth, MN 55441-3712

Phone

(763) 559-5677

Fax

(763) 559-2116

NPI assigned

Jul 9, 2020

Last updated

Jul 9, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1568080216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13895 INDUSTRIAL PARK BLVD STE 140",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413712",
            "telephone_number": "763-559-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13895 INDUSTRIAL PARK BLVD STE 140",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413712",
            "telephone_number": "763-559-5677",
            "fax_number": "763-559-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENHOE",
        "first_name": "SUSAN",
        "middle_name": "MAUD",
        "name_prefix": "Ms.",
        "credential": "LPCC  LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304020",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.