Individual provider Active NPI

Susan Sheridan Lof, LMHC

  • Mental Health Counselor
  • Oak Harbor, WA
National Provider Identifier
1992010334
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60448959 Issued in WA
Practice address
675 SW Franklin CT
Oak Harbor, WA 98277-5133
Phone
(580) 231-0428
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH 60448959 WA Primary

Addresses

Primary practice location

675 SW Franklin CT
Oak Harbor, WA 98277-5133

Mailing address

675 SW Franklin CT
Oak Harbor, WA 98277-5133
Phone (580) 231-0428

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

State licenses

LicenseStateTypeSpecialty
LH 60448959WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1992010334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 SW FRANKLIN CT",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775133",
            "telephone_number": "580-231-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 SW FRANKLIN CT",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775133",
            "telephone_number": "580-231-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOF",
        "first_name": "SUSAN",
        "middle_name": "SHERIDAN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60448959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.