Susan Williams, LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

180.012917 Issued in IL

Practice address

321 Hamilton St
Geneva, IL 60134-2148

Phone

(877) 443-7030

Fax

(630) 208-0695

NPI assigned

Nov 1, 2013

Last updated

May 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Susan Crickmore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

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  NPD (past)
• Legacy Clinical Consultants, LLC

  • Clinical Neuropsychologist
  • Lisle, IL
  • NPI 1124092911

  Counselor

  NPD (past)

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1033548912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 THORNHILL DR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882706",
            "telephone_number": "630-752-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 HAMILTON ST",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342148",
            "telephone_number": "877-443-7030",
            "fax_number": "630-208-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SUSAN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.009213",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.012917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "CRICKMORE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Wilkinson
• William P. Burke Jr. P.C.
• Gretchen K Williams, PT
• Hovey Ellis Williams III, M.S.
• Kurt J Williams, M.D.
• Audra Wilson, MS, RDN
• Kathryn Winans, MS, RD, LDN
• Adam R Winckler, D.D.S.
• Windmill Counseling, LLC (Windmill Counseling)
• Lora D Windsor, LCSW, CADC

• Counselor in Geneva, IL
• Providers in Geneva, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.