Susan Ruth Mathey, CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP00000160 Issued in WA

Practice address

1601 E College Way
Mount Vernon, WA 98273-5612

Phone

(425) 275-6287

NPI assigned

Jul 16, 2015

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

Other names 1

• Susan Ruth Cavanaugh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lake Whatcom Residential & Treatment Center

  • Community/Behavioral Health Agency
  • Bellingham, WA
  • NPI 1043281736
  NPD (past)
• Lake Whatcom Residential & Treatment Center

  • Case Management Agency
  • Bellingham, WA
  • NPI 1780991844
  NPD (past)

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1588048805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 NORTHSHORE DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982264414",
            "telephone_number": "360-676-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E COLLEGE WAY",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735612",
            "telephone_number": "425-275-6287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 Northshore Dr",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982264414",
            "country_code": "US",
            "telephone_number": "360-676-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEY",
        "first_name": "SUSAN",
        "middle_name": "RUTH",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00000160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "CAVANAUGH",
            "middle_name": "RUTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Angeles Martinez
• Diane C Marx, RDN
• Massage Radiance
• Masterpeace Counseling, PLLC
• Bruce C Mathey, MD
• Christopher Ryan Mathis, LMHC
• Abcde Matias
• Ron Matteo
• Matthew E Carlson DDS PLLC
• Holly Maupin

• Addiction (Substance Use Disorder) Counselor in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.