Susan Ives McCollum, MS, NCC

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

License

WV PROVISIONAL #2 Issued in WV

Practice address

2000 Foundation Way
Suite 3500
Martinsburg, WV 25401

Phone

(304) 264-1442

Fax

(304) 264-4317

NPI assigned

Dec 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1871777003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FOUNDATION WAY",
            "address_2": "SUITE 3500",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019003",
            "telephone_number": "304-264-1442",
            "fax_number": "304-264-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FOUNDATION WAY",
            "address_2": "SUITE 3500",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25401",
            "telephone_number": "304-264-1442",
            "fax_number": "304-264-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "SUSAN",
        "middle_name": "IVES",
        "credential": "MS, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "WV",
            "license": "WV PROVISIONAL #2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael D McCarty, PH.D.
• Michael McCauley
• Deborah Lynn McClintock, D.D.S.
• Kelly Ann McCloud
• Holly S McCloy, MA, NCC
• Jeremy McCourt, PHARM.D.
• Jeannette Marie McCoy, LPN
• McCray Chiropractic and Health Restoration Clinic, Inc.
• Daniel Ray McCray, D.C.
• Judy A McCune, RN

• Pastoral Counselor in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Pastoral Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.