Individual provider Active NPI

Kelsey Suglich, MED, LCPC, NCC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1003532623
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.016808
Practice address
1806 N Damen Ave
Chicago, IL 60647-5511
Phone
(773) 270-0469
NPI assigned
Oct 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 178.018431 IL
Professional Counselor 101YP2500X 180.016808 Primary

Addresses

Primary practice location

1806 N Damen Ave
Chicago, IL 60647-5511

Mailing address

1806 N Damen Ave
Chicago, IL 60647-5511
Phone (773) 270-0469

Other practice location 1

7357 North Ave
River Forest, IL 60305-1230
Phone (773) 270-0469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
178.018431ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Individual and Family Connection, LLC Counselor CurrentSince Oct 1, 2022 Accepting new patients
Ifc Premier, Professional Limited Liability Company CurrentSince Sep 21, 2025 Accepting new patients

Locations

1806 N Damen Ave
Chicago, IL 60647
Phone (773) 270-0469

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1003532623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475511",
            "telephone_number": "773-270-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475511",
            "telephone_number": "773-270-0469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7357 North Ave",
            "address_purpose": "LOCATION",
            "city": "River Forest",
            "state": "IL",
            "postal_code": "603051230",
            "country_code": "US",
            "telephone_number": "773-270-0469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUGLICH",
        "first_name": "KELSEY",
        "credential": "MED, LCPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.018431",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "180.016808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.