MS. SUSAN L ROBERTS MA NCC LCPC NPI 1750354445

NPI Information

NPI: 1750354445
Provider Name: MS. SUSAN L ROBERTS, MA, NCC, LCPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
151 W LINCOLN HWY
SUITE C
DEKALB, IL
ZIP 60115
Phone: (815) 754-9777
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MS. Susan L Roberts, MA, NCC, LCPC is a mental health counselor in Dekalb, IL. MS. Susan L Roberts, MA, NCC, LCPC NPI is 1750354445. 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:

151 W LINCOLN HWY
SUITE C
DEKALB, IL
ZIP 60115-680
Phone: (815) 754-9777

The enumeration date for this NPI number is 2/11/2006 and was last updated on 5/20/2008.

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	180-004201	ILLINOIS	No
2	101YM0800X	Counselor	Mental Health	180004201	ILLINOIS	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	486660000	OTHER	ILLINOIS	MAGELLAN BEHAVIORALHEALTH
2	01932002	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
3	091193	OTHER	ILLINOIS	HEALTH ALLIANCE
4	364460074	OTHER	ILLINOIS	EIN
5	364460074	OTHER	ILLINOIS	UNITED BEHAVIORAL HEALTH

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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