Susan Lynn Mayer, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

137 E Arctic Ave Ste 2a
Palmer, AK 99645-6255

Phone

(916) 794-3483

NPI assigned

Aug 27, 2019

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

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1922656578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17605 E IDLE DR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457522",
            "telephone_number": "916-794-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 E ARCTIC AVE STE 2A",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456255",
            "telephone_number": "916-794-3483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17605 E Idle Dr",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "996457522",
            "country_code": "US",
            "telephone_number": "907-313-8143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYER",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Lynn Mathis
• Matsu Baby Co LLC
• Kailey Marie Matzen, DPT
• Luke Matzen, PT, DPT
• Heaven Lynn Mayer
• Kelly Margaret McBride
• Liza Tulio McCafferty, M.S.
• Seamus R McCann
• Nicolas Mario McCaslin
• Stephanie Ann McCoy, PTA

• Professional Counselor in Palmer, AK
• Providers in Palmer, AK by specialty
• Professional Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.