MS. SUSAN ROBERTA DAVIS LCPC CDS NPI 1568418739

NPI Information

  • NPI: 1568418739
  • Provider Name: MS. SUSAN ROBERTA DAVIS, LCPC, CDS
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 2845 VALLEY VIEW RD
    GURNEE, IL
    ZIP 60031
  • Phone: (847) 502-1007

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NPI Details

MS. Susan Roberta Davis, LCPC, CDS is a professional counselor in Gurnee, IL. MS. Susan Roberta Davis, LCPC, CDS NPI is 1568418739. 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:

2845 VALLEY VIEW RD
GURNEE, IL
ZIP 60031-041
Phone: (847) 502-1007
Fax: (815) 301-9025

The enumeration date for this NPI number is 5/26/2006 and was last updated on 2/6/2025.

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
1101Y00000XCounselor180.007623ILLINOISNo
2103TS0200XPsychologistSchoolSS12630298PILLINOISNo
3101YP2500XCounselorProfessional180.007623ILLINOISYes
4222Q00000XDevelopmental TherapistNo

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
1SS12630298POTHERILLINOISD.T., SCH PSYCH, EVALS
2180.007623OTHERILLINOISLICENSED CLINICAL PROFESSIONAL COUNSELOR

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: 11/21/2025

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