Active NPI
Susy So
- Mental Health Counselor
- Pasco, WA
National Provider Identifier
1679878813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60140410
- Practice address
- 720 W Court St Ste 8
Pasco, WA 99301-4178 - Phone
- (509) 545-6506
- NPI assigned
- Jan 19, 2011
- Last updated
- Jan 19, 2011
- Sex
- Female
- Sole proprietor
- No
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 | LH60140410 | WA | Primary |
Addresses
Primary practice location
720 W Court St Ste 8
Pasco, WA 99301-4178
Mailing address
PO Box 1452
Pasco, WA 99301-1452
Phone (509) 547-2204
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60140410 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-Cities Community Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1225145105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295395200000",
"number": "1679878813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1452",
"city": "PASCO",
"state": "WA",
"postal_code": "993011452",
"telephone_number": "509-547-2204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 W COURT ST STE 8",
"city": "PASCO",
"state": "WA",
"postal_code": "993014178",
"telephone_number": "509-545-6506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SO",
"first_name": "SUSY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-19",
"last_updated": "2011-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60140410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.