Individual provider Active NPI

Sueann S Bawden, MFT

  • Mental Health Counselor
  • Carson City, NV
National Provider Identifier
1912355199
Registry record updated May 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0632 Issued in NV
Practice address
603 E Robinson St
Carson City, NV 89701-4108
Phone
(775) 883-4325
NPI assigned
May 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0632 NV
Mental Health Counselor 101YM0800X 0632 NV Primary

Addresses

Primary practice location

603 E Robinson St
Carson City, NV 89701-4108

Mailing address

7 Scarlet Cir
Carson City, NV 89706-0334
Phone (775) 220-1190

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

NPI Registry JSON

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

{
    "created_epoch": "1464480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464480000000",
    "number": "1912355199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SCARLET CIR",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060334",
            "telephone_number": "775-220-1190",
            "fax_number": "775-882-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E ROBINSON ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897014108",
            "telephone_number": "775-883-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAWDEN",
        "first_name": "SUEANN",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-29",
        "last_updated": "2016-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "0632",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "0632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2016; 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.