Individual provider Active NPI

Shanshan Y Tsu, LCPC, CADC

  • Professional Counselor
  • Wheaton, IL
National Provider Identifier
1033544374
Registry record updated Feb 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180010910 Issued in IL
Practice address
610 W Roosevelt Rd Ste B1
Wheaton, IL 60187-2303
Phone
(630) 462-3999
NPI assigned
Sep 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180010910 IL Primary

Addresses

Primary practice location

610 W Roosevelt Rd Ste B1
Wheaton, IL 60187-2303

Mailing address

610 W Roosevelt Rd Ste B1
Wheaton, IL 60187-2303
Phone (630) 462-3999

Other names 1

  • Shannan Tsu Professional name

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

State licenses

LicenseStateTypeSpecialty
180010910ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Camino Counseling, PLLC Past Accepting new patients
Maudlin & Associates LLC Past Accepting new patients

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": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550275200000",
    "number": "1033544374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W ROOSEVELT RD STE B1",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872303",
            "telephone_number": "630-462-3999",
            "fax_number": "630-462-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W ROOSEVELT RD STE B1",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872303",
            "telephone_number": "630-462-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSU",
        "first_name": "SHANSHAN",
        "middle_name": "Y",
        "credential": "LCPC, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2019-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNAN",
            "last_name": "TSU",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2019; 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.