Susan Cooper Marean, CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP00005142 Issued in WA

Practice address

520 Spring St
Friday Harbor, WA 98250-8057

Phone

(360) 378-4994

NPI assigned

Jan 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1992980809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 PORT STANLEY RD",
            "city": "LOPEZ ISLAND",
            "state": "WA",
            "postal_code": "982618403",
            "telephone_number": "360-468-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SPRING ST",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982508057",
            "telephone_number": "360-378-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAREAN",
        "first_name": "SUSAN",
        "middle_name": "COOPER",
        "name_prefix": "Mrs.",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00045742",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00005142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lavendera Massage LLC
• Susan Lynn Lefever, PHYSICAL THERAPIST
• Patricia Baer Lehr, LICSW
• Karen Elizabeth Libby, RN,LMP
• Susan Marie Mahoney, MD
• Joshua Matlock, PHARMD
• C. Shahn McGuire, LMFT
• Michael T. Horn, DDS, PLLC
• Natalie Miller Nawn, LSWAIC
• Lori Tucker Miller, RDH

• Addiction (Substance Use Disorder) Counselor in Friday Harbor, WA
• Providers in Friday Harbor, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.