IndividualActive
Susan Bomar, MA
NPI 1164585261 · Mental Health Counselor · Memphis, TN
Provider details
- NPI number
- 1164585261
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3810 Winchester Rd
Southeast Mental Health Center
Memphis, TN 38118-9007
Phone: (901) 369-1400
Fax: (901) 369-1433
Street-level locationGet directions
Mailing address
3810 Winchester Rd
Memphis, TN 38118-9007
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.