Individual provider Active NPI

Susan Malia Ashmead

  • Mental Health Counselor
  • Lincoln University, PA
National Provider Identifier
1720448301
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC008687 Issued in PA
Practice address
101 Wilson Dr
Lincoln University, PA 19352-9744
Phone
(484) 643-0459
NPI assigned
Feb 25, 2016
Last updated
Feb 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC008687 PA Primary
Mental Health Counselor 101YM0800X PC0000736 DE

Addresses

Primary practice location

101 Wilson Dr
Lincoln University, PA 19352-9744

Mailing address

101 Wilson Dr
Lincoln University, PA 19352-9744
Phone (484) 643-0459

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

LicenseStateTypeSpecialty
PC0000736DEMDMental Health Counselor
PC008687PAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1720448301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WILSON DR",
            "city": "LINCOLN UNIVERSITY",
            "state": "PA",
            "postal_code": "193529744",
            "telephone_number": "484-643-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WILSON DR",
            "city": "LINCOLN UNIVERSITY",
            "state": "PA",
            "postal_code": "193529744",
            "telephone_number": "484-643-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHMEAD",
        "first_name": "SUSAN",
        "middle_name": "MALIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC008687",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC0000736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln University, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.