Susan Marie Panger, LMFT LCSW

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

558-124 Issued in WI

Practice address

811 60TH St
2E
Kenosha, WI 53140-4074

Phone

(262) 652-9599

Fax

(262) 652-0009

NPI assigned

Apr 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sue Panger & Associates, SC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kenosha, WI
  • NPI 1205034535
  NPD

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1750403101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531410096",
            "telephone_number": "262-652-9599",
            "fax_number": "262-652-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 60TH ST",
            "address_2": "2E",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531404074",
            "telephone_number": "262-652-9599",
            "fax_number": "262-652-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGER",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMFT  LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-05",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2606-123",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "558-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Cary Pallin, M.D.
• John S Pallin, M.D.
• Kristen A Palmer, LCSW
• Damar Palomares, RN
• Tiffany Panasewicz, LPC
• Rachel Papp
• Gayle Ann Paquin, APNP, ANP-BC
• Saralyn Paredes, APNP FNP-C
• Paris Joint #1 School District
• Frank Lawrence Parise, APSW

• Marriage & Family Therapist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.

Verify at the official NPI Registry.