Active NPI
Susan Davis
- Marriage & Family Therapist
- Lebanon, NH
National Provider Identifier
1972115475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 85 Mechanic St
Lebanon, NH 03766-1537 - Phone
- (603) 448-5610
- NPI assigned
- Aug 18, 2020
- Last updated
- Aug 18, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
85 Mechanic St
Lebanon, NH 03766-1537
Mailing address
9 Hanover St Ste 2
Lebanon, NH 03766-1312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3077550 | Medicaid | NH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Central Services, Inc. | Current | Accepting new patients | |
| West Central Services, Inc | Past | Accepting new patients |
Locations
85 Mechanic St
Lebanon, NH 03766
Phone (603) 448-0126
9 Hanover St
#2
Lebanon, NH 03766
Phone (603) 448-0126
Organizations & group practices 2
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.
-
dba West Central Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lebanon, NH
- NPI 1174635684
-
- Case Manager/Care Coordinator
- Claremont, NH
- NPI 1013377571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1972115475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 HANOVER ST STE 2",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 MECHANIC ST",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661537",
"telephone_number": "603-448-5610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-18",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3077550",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.