Susan Marie Harrison, RADT-I
Individual provider Active NPI Case Manager/Care Coordinator · Taft, CA
NPI 1669718193 · NPPES record last updated Dec 9, 2019
Key facts
- NPI
- 1669718193
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1021 4TH St # B
Taft, CA 93268-2433 - Phone
- (661) 765-7025
- Fax
- (661) 765-7045
- NPI assigned
- Jan 3, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1192480215 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| RIH1309110010 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1192480215 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RIH1309110010 | CA | |
| Mental Health Counselor | 101YM0800X | CA | ||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1021 4TH St # B
Taft, CA 93268-2433
Mailing address
1021 4TH St # B
Taft, CA 93268-2433
Phone (661) 765-7025
Other practice location 1
2901 S H St
Bakersfield, CA 93304-5602
Phone (661) 398-4303 ext. 20721
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SUZANH06 | Other | CA | MENTAL HEALTH SERVICES COUNSELOR |
| SUZANH06 | Medicaid | CA | |
| 1669718193 | Other | CA | SUBSTANCE ABUSE COUNSELOR |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 911 | Direct |
Other providers in Taft, CA
- Maria Gasga
- Diana Maria Gomez
- Shannon Gomez
- May Jaffar Hadi
- Ronald Carl Hainsel Hernandez Jr.
- Heather Dawn Hillhouse
- Tamara Rachelle Hilvers
- Shawn Holloway
- Victor L Hudson
- J. Sterling Bryan, D.D.S., P.C.
All providers in Taft, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.