Active NPI
Susan E. Lund
- Mental Health Counselor
- Escondido, CA
National Provider Identifier
1669597233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6886
- Practice address
- 200 E Washington Ave
Suite 100
Escondido, CA 92025-1806 - Phone
- (760) 737-8642
- Fax
- (760) 737-8918
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6886 | CA | Primary |
Addresses
Primary practice location
200 E Washington Ave
Suite 100
Escondido, CA 92025-1806
Mailing address
447 N El Molino Ave
Pasadena, CA 91101-1403
Phone (626) 577-8480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6886 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188172800000",
"number": "1669597233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "447 N EL MOLINO AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911011403",
"telephone_number": "626-577-8480",
"fax_number": "626-577-8978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E WASHINGTON AVE",
"address_2": "SUITE 100",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920251806",
"telephone_number": "760-737-8642",
"fax_number": "760-737-8918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUND",
"first_name": "SUSAN",
"middle_name": "E.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "6886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.