Suzanne Lundgren, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC1667 Issued in AZ

Practice address

1316 W Pasadena Ave
Phoenix, AZ 85013-2113

Phone

(602) 266-3516

Fax

(602) 776-0881

NPI assigned

Dec 18, 2006

Last updated

Feb 14, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1912060203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 W PASADENA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850132113",
            "telephone_number": "602-266-3516",
            "fax_number": "602-776-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 W PASADENA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850132113",
            "telephone_number": "602-266-3516",
            "fax_number": "602-776-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDGREN",
        "first_name": "SUZANNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC1667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Lund
• Timothy Merrill Lund, PA-C
• Gayle E Lundberg, R.PH.
• Alan Russ Lundeen, D.C.
• Scott B Lundgren, D.O.
• Hailey Michelle Lundquist, PA
• Michele Lundy, MD
• Michelle Christine Lunka, MS, LMFT
• Daniel Lunt, PA-C
• Everett Gregg Lunt, DPT

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.