Active NPI
Susan Lynn Ham, LPC-MHSP
- Professional Counselor
- Franklin, TN
National Provider Identifier
1760673396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2577
- Practice address
- 256 Seaboard LN
BLDG. E, Suite 102
Franklin, TN 37067-2875 - Phone
- (615) 838-8539
- NPI assigned
- Aug 8, 2007
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2577 | TN | Primary |
Addresses
Primary practice location
256 Seaboard LN
BLDG. E, Suite 102
Franklin, TN 37067-2875
Mailing address
256 Seaboard LN
BLDG. E, Suite 102
Franklin, TN 37067-2875
Phone (615) 838-8539
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3376955 | Other | TN | GROUP MEDICARE |
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 |
|---|---|---|---|
| 2577 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301356800000",
"number": "1760673396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 SEABOARD LN",
"address_2": "BLDG. E, SUITE 102",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370672875",
"telephone_number": "615-838-8539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 SEABOARD LN",
"address_2": "BLDG. E, SUITE 102",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370672875",
"telephone_number": "615-838-8539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAM",
"first_name": "SUSAN",
"middle_name": "LYNN",
"credential": "LPC-MHSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-08",
"last_updated": "2011-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "2577",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE",
"identifier": "3376955",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.