Individual provider Active NPI

Susan Joyce Keever, CAS

  • Addiction (Substance Use Disorder) Counselor
  • Woodland, CA
National Provider Identifier
1740513456
Registry record updated Sep 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
03-034564 Issued in CA
Practice address
15430 County Road 99
Woodland, CA 95695-9339
Phone
(530) 668-9627
NPI assigned
Sep 13, 2009
Last updated
Sep 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 03-034564 CA Primary

Addresses

Primary practice location

15430 County Road 99
Woodland, CA 95695-9339

Mailing address

15430 County Road 99
Woodland, CA 95695-9339
Phone (530) 668-9627

Other identifiers 1

IdentifierTypeStateIssuer
03-034564OtherCACAARR

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
03-034564CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1252800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252800000000",
    "number": "1740513456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15430 COUNTY ROAD 99",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956959339",
            "telephone_number": "530-668-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15430 COUNTY ROAD 99",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956959339",
            "telephone_number": "530-668-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEVER",
        "first_name": "SUSAN",
        "middle_name": "JOYCE",
        "name_prefix": "Ms.",
        "credential": "CAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-13",
        "last_updated": "2009-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "03-034564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAARR",
            "identifier": "03-034564",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2009; 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.