Sussan Fung

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

3455 W Craig Rd Ste C
North Las Vegas, NV 89032-5119

Phone

(702) 802-2011

NPI assigned

Dec 4, 2018

Last updated

Sep 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Zane Medical Group LLC

  dba Zane Behavioral Services

  • Primary Care Clinic/Center
  • North Las Vegas, NV
  • NPI 1801495932
  Medicare reassignment NPD Authorized official
• Zane Medical Group LLC

  • Community/Behavioral Health Agency
  • North Las Vegas, NV
  • NPI 1235609140

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1639649536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 W CRAIG RD STE C",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890325119",
            "telephone_number": "702-802-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 W CRAIG RD STE C",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890325119",
            "telephone_number": "702-802-2011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6039 Hidden Summit St",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890316841",
            "country_code": "US",
            "telephone_number": "702-773-8673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNG",
        "first_name": "SUSSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laschavio Fuller, EDD
• Dorothy Fullilove
• James Derrick Fulson
• Tavon Fultz
• Fun With ABA, LLC
• Funxional Solutions
• Ruth Nalasa Fuquay
• Samirah Kwajalein Furman, PHARM.D
• Brittney Furr Bajalia
• Brycelyn N Furr Patton

• Counselor in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.