Susanna Im

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

140 Washington St Ste 1
Dover, NH 03820-3721

Phone

(603) 460-5945

NPI assigned

Jan 8, 2025

Sex

Female

Sole proprietor

Yes

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

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.

• Shoreline Counseling Group LLC

  • Mental Health Counselor
  • Dover, NH
  • NPI 1164133229
  NPD (past)

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1669282117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WASHINGTON ST STE 1",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WASHINGTON ST STE 1",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203721",
            "telephone_number": "603-460-5945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Greenland Rd Unit C6",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038014163",
            "country_code": "US",
            "telephone_number": "603-460-5945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IM",
        "first_name": "SUSANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meryl Iacocca, OD
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• Amanda Iantosca, DO
• Hannah Iattarelli, BCBA
• Idoc Telehealth Solutions New Hampshire LLC
• Gregory A Imbrie, MD
• In Motion Chiropractic PLLC
• Polina Inkoulova, MD
• Integrated Massage & Wellness
• Samhitha Rai Intscher, MD

• Mental Health Counselor in Dover, NH
• Providers in Dover, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.