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Susannah Tully, M. ED.
NPI 1558754200 · Professional Counselor · Portland, ME
Susannah Tully, M. ED. is a Professional Counselor provider in Portland, ME (NPI 1558754200).
Provider details
- NPI number
- 1558754200
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- M. ED.
- Sex
- Female
- Sole proprietor
- No
- License
- CC4200 (ME)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% 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
470 Forest Avenue
300
Portland, ME 04101
Phone: (207) 854-1030
Street-level locationGet directions
Mailing address
470 Forrester Avenue
Portland, ME 04101
Registry dates
- Enumerated
- 2015-03-05
- Last updated
- 2015-03-05
Frequently asked questions
- What is Susannah Tully's NPI number?
- Susannah Tully's National Provider Identifier (NPI) is 1558754200, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susannah Tully's specialty?
- Susannah Tully is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Susannah Tully located?
- Susannah Tully's practice location on file with NPPES is 470 Forest Avenue, Portland, ME 04101.
- What is Susannah Tully's phone number?
- The practice phone number listed in the NPPES registry for Susannah Tully is (207) 854-1030.
- Is Susannah Tully's NPI active?
- Yes — Susannah Tully's NPI (1558754200) is active in the NPPES registry as of the last update on 2015-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.