SUSAN KOLB MS LPC NPI 1396829602

NPI Information

NPI: 1396829602
Provider Name: SUSAN KOLB, MS, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
497 SW CENTURY DR STE 102
BEND, OR
ZIP 97702
Phone: (541) 550-8008
Get Directions

Susan Kolb, MS, LPC is a professional counselor in Bend, OR. Susan Kolb, MS, LPC NPI is 1396829602. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

497 SW CENTURY DR STE 102
BEND, OR
ZIP 97702-167
Phone: (541) 550-8008
Fax: (541) 797-6898

The enumeration date for this NPI number is 10/24/2006 and was last updated on 3/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	C1831	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11627604	OTHER	OREGON	CAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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