Active NPI
Suzanne Swanson Inc.
- Counseling Psychologist
- Saint Paul, MN
National Provider Identifier
1760544290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP2039
- Legal business name
- SUZANNE SWANSON INC.
- Doing business as
- Mothers Matter
- Practice address
- 1108 Grand Ave
#2
Saint Paul, MN 55105-2618 - Phone
- (651) 221-9709
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Suzanne M Swanson, PH.D.
- Title
- Licensed Psychologist
- Phone
- (651) 221-9709
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP2039 | MN | Primary |
Addresses
Primary practice location
1108 Grand Ave
#2
Saint Paul, MN 55105-2618
Mailing address
1108 Grand Ave
#2
Saint Paul, MN 55105-2618
Phone (651) 221-9709
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4533470 | Medicaid | MN | |
| 83A00SW | Other | MN | BLUE CROSS BLUE SHIELD MN |
Other names 1
- Mothers Matter
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1760544290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 GRAND AVE",
"address_2": "#2",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551052618",
"telephone_number": "651-221-9709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 GRAND AVE",
"address_2": "#2",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551052618",
"telephone_number": "651-221-9709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUZANNE SWANSON INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SWANSON",
"authorized_official_first_name": "SUZANNE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "651-221-9709",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP2039",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4533470",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MN",
"identifier": "83A00SW",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mothers Matter",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.