Susan Gail Mix, COUNSELING INTERN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

RC00023513 Issued in WA

Practice address

1323 Yakima Ave
Tacoma, WA 98405-4457

Phone

(253) 502-2696

Fax

(253) 502-2757

NPI assigned

Mar 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801925417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 YAKIMA AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054457",
            "telephone_number": "253-502-2696",
            "fax_number": "253-502-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 YAKIMA AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054457",
            "telephone_number": "253-502-2696",
            "fax_number": "253-502-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIX",
        "first_name": "SUSAN",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "COUNSELING INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00023513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED COUNSELOR",
            "identifier": "RC00023513",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ralph Alan Mitchell, PHYSICIAN ASSISTANT
• Rosemae D'Haiti Mitchell, MS
• Sharon Mitchell
• Venestia Mitchell
• Emily Mittelman, MSOTR/L, OTD
• Matthew Mixon
• Kristy Beige Mize, LPN/LVN
• Laurie Shapiro Mizrahi, MSW, LICSW
• MK Obeng PC
• Nancy Mkumbwa

• Mental Health Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.