Sue Burdette O'Neill, LPC
Individual provider Active NPI Counselor · Lineville, AL
NPI 1922380799 · NPPES record last updated Jun 25, 2012
Key facts
- NPI
- 1922380799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 150 (AL)
- Practice address
- 59468 Highway 49
Lineville, AL 36266-4769 - Phone
- (256) 276-1451
- NPI assigned
- Sep 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150 | AL | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 150 | AL | Yes |
Addresses
Primary practice location
59468 Highway 49
Lineville, AL 36266-4769
Mailing address
88154 Highway 9
PO Pox 366
Lineville, AL 36266-6932
Phone (256) 276-1451
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3390-19041 | Other | AL | STATE OF ALABAMA MEDICAID PARTICIPANT NUMBER - COOSA COUNTY |
| 3390-58050 | Other | AL | STATE OF ALABAMA MEDICAID PARTICIPANT NUMBER - ST. CLAIR COUNTY |
| 3390-08171 | Other | AL | STATE OF ALABAMA MEDICAID PARTICIPANT NUMBER - CALHOUN COUNTY |
| 3390-14038 | Other | AL | STATE OF ALABAMA MEDICAID PARTICIPANT NUMBER - CLAY COUNTY |
| 3390-56039 | Other | AL | STATE OF ALABAMA MEDICAID PARTICIPANT NUMBER - RANDOLPH COUNTY |
| 3390-15030 | Other | AL | STATE OF ALABAMA MEDICAID PARTICIPANT NUMBER - CLEBURNE COUNTY |
Other names
- Emma Sue Burdette
Other providers in Lineville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.