Individual provider Active NPI

Susan Kay O'Day, MS LPC

  • Mental Health Counselor
  • Wausau, WI
National Provider Identifier
1881924181
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3726-125 Issued in WI
Practice address
705 S 24TH Ave
Galleria IV, Suite 402
Wausau, WI 54401-5242
Phone
(715) 848-1457
Fax
(715) 848-2959
NPI assigned
Jan 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3726-125 WI Primary

Addresses

Primary practice location

705 S 24TH Ave
Galleria IV, Suite 402
Wausau, WI 54401-5242

Mailing address

705 S 24TH Ave
Galleria IV, Suite 402
Wausau, WI 54401-5242
Phone (715) 848-1457

Other identifiers 2

IdentifierTypeStateIssuer
3726-125OtherWISTATE LICENSE NUMBER
40935400MedicaidWI

Other names 1

  • Mr. Susie O'Day Professional name

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 Science

State licenses

LicenseStateTypeSpecialty
3726-125WIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1881924181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S 24TH AVE",
            "address_2": "GALLERIA IV, SUITE 402",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544015242",
            "telephone_number": "715-848-1457",
            "fax_number": "715-848-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S 24TH AVE",
            "address_2": "GALLERIA IV, SUITE 402",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544015242",
            "telephone_number": "715-848-1457",
            "fax_number": "715-848-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DAY",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "name_prefix": "Mr.",
        "credential": "MS LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3726-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "3726-125",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40935400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSIE",
            "last_name": "O'DAY",
            "prefix": "MR.",
            "credential": "MS LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.