Individual provider Active NPI

Susan Herzog Vannoy, MA, LMFT, LCAS

  • Marriage & Family Therapist
  • Boone, NC
National Provider Identifier
1720426836
Registry record updated Nov 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1505 Issued in NC
Practice address
938B W King St
Boone, NC 28607-3467
Phone
(828) 270-7835
NPI assigned
Jun 11, 2013
Last updated
Nov 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2505 NC
Marriage & Family Therapist 106H00000X 1505 NC Primary

Addresses

Primary practice location

938B W King St
Boone, NC 28607-3467

Mailing address

938B W King St
Boone, NC 28607-3467
Phone (828) 270-7835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240516000692 NC Practitioner - Marriage and Family Therapist 0941641302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

938 B W King St
Boone, NC 28607-3467
Phone (828) 773-4088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1505NCMDMarriage & Family Therapist
2505NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vannoy Counseling Services, PLLC Addiction (Substance Use Disorder) CurrentSince Apr 2, 2024 Accepting new patients

Locations

938B W King St
Boone, NC 28607
Phone (828) 270-7835

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.

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448755200000",
    "number": "1720426836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938B W KING ST",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286073467",
            "telephone_number": "828-270-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938B W KING ST",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286073467",
            "telephone_number": "828-270-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNOY",
        "first_name": "SUSAN",
        "middle_name": "HERZOG",
        "credential": "MA, LMFT, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2015-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2505",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.