Active NPI
Susan Nasser Record, LPC
- Counselor
- Coeur D Alene, ID
National Provider Identifier
1740509744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC-4090
- Practice address
- 1323 E Sherman Ave
Ste D
Coeur D Alene, ID 83814-4069 - Phone
- (208) 676-1075
- NPI assigned
- Jun 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC-4090 | ID | Primary |
Addresses
Primary practice location
1323 E Sherman Ave
Ste D
Coeur D Alene, ID 83814-4069
Mailing address
3117 N 18TH St
Coeur D Alene, ID 83815-6458
Phone (208) 640-6814
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-4090 | ID | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275350400000",
"number": "1740509744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3117 N 18TH ST",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838156458",
"telephone_number": "208-640-6814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1323 E SHERMAN AVE",
"address_2": "STE D",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838144069",
"telephone_number": "208-676-1075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECORD",
"first_name": "SUSAN",
"middle_name": "NASSER",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-01",
"last_updated": "2010-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "LPC-4090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.