CODIE SURRATT NPI 1679024061

NPI Information

  • NPI: 1679024061
  • Provider Name: CODIE SURRATT
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 800 ROOSEVELT RD STE 206
    GLEN ELLYN, IL
    ZIP 60137
  • Phone: (630) 423-5935

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NPI Details

Codie Surratt is a counselor in Glen Ellyn, IL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Codie Surratt NPI is 1679024061. 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:

800 ROOSEVELT RD STE 206
GLEN ELLYN, IL
ZIP 60137-839
Phone: (630) 423-5935
Fax: (630) 545-3630

The enumeration date for this NPI number is 10/20/2016 and was last updated on 9/11/2024.

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
1101Y00000XCounselorYes

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: 3/30/2025

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