Active NPI
Susan Elaine Farnsworth, MED, LPC,CAC-D, SAP
- Counselor
- Pottsville, PA
National Provider Identifier
1801952288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PC001801
- Practice address
- 4 S 2ND St
Suite 207
Pottsville, PA 17901-3082 - Phone
- (570) 624-1148
- Fax
- (570) 624-1148
- NPI assigned
- Dec 29, 2006
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | PC001801 | PA | Primary |
Addresses
Primary practice location
4 S 2ND St
Suite 207
Pottsville, PA 17901-3082
Mailing address
151 Camp Strauss Rd
Bethel, PA 19507-9564
Phone (570) 624-1148
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC001801 | PA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801952288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 CAMP STRAUSS RD",
"city": "BETHEL",
"state": "PA",
"postal_code": "195079564",
"telephone_number": "570-624-1148",
"fax_number": "570-624-1148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 S 2ND ST",
"address_2": "SUITE 207",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179013082",
"telephone_number": "570-624-1148",
"fax_number": "570-624-1148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARNSWORTH",
"first_name": "SUSAN",
"middle_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "MED, LPC,CAC-D, SAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "PC001801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pottsville, PA
Sources for this page
- 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.