Susan Beverly Collyard, MA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

100-226 Issued in WI

Practice address

4929 W Fond Du Lac Ave
Milwaukee, WI 53216-2324

Phone

(414) 871-6122

Fax

(414) 871-2552

NPI assigned

Dec 19, 2006

Last updated

Dec 17, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Susan B. Batt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bell Therapy Family Care Cmu

  • Case Management Agency
  • Milwaukee, WI
  • NPI 1205032737
  NPD (past)
• Broadstep-Wisconsin, Inc.

  • Case Management Agency
  • West Allis, WI
  • NPI 1972708832
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1952465783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18453",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532180453",
            "telephone_number": "262-617-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 W FOND DU LAC AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162324",
            "telephone_number": "414-871-6122",
            "fax_number": "414-871-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLYARD",
        "first_name": "SUSAN",
        "middle_name": "BEVERLY",
        "name_prefix": "Miss",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "100-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BATT",
            "middle_name": "B.",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara Lynn Collins, CPNP-PC
• Stephanie Collins, OTR/L
• Wendy Denise Collins
• Jane Marie Collis-Geers, M.D.
• Elizabeth Mary Collis, MSN, CNM
• Jessica Marie Colon Franco, PHD
• Sonia Milagros Colon Medina, L.AC.
• Pablo J Colon Nieves, MD
• Miriam Colton
• Patricia Colucci, NP

• Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.