Susan R Allen, CAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Fairfax, VA
NPI 1720102817 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720102817
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 89004 (VA)
- Practice address
- 8550 Lee Hwy
Fairfax, VA 22031-1515 - Phone
- (703) 207-2818
- Fax
- (703) 207-2838
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 89004 | VA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Past | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 89004 | VA | Yes |
Addresses
Primary practice location
8550 Lee Hwy
Fairfax, VA 22031-1515
Mailing address
2101 E Jefferson St
Kaiser Permanente, Ppqa, 6 West, Attn: Theresa Brooks
Rockville, MD 20852-4908
Phone (301) 816-6660
Other providers in Fairfax, VA
- Caroline Allen
- Joshua M Allen
- Rebecca Allen
- Sidney Allen
- Susan Allen
- Terry A Allen
- Allergy Partners, PLLC
- Katharine M Alley
- Alliance Nurses for Home Health and Wellness, L.L.C.
- Alliance Rehab and Physical Therapy LLC
All providers in Fairfax, VA · Addiction (Substance Use Disorder) Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.