Individual provider Active NPI

Susan Pagels, LCPC

  • Professional Counselor
  • Matteson, IL
National Provider Identifier
1033839873
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180014639 Issued in IL
Practice address
70 Begonia Dr
Matteson, IL 60443-1589
Phone
(708) 372-2178
NPI assigned
Aug 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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 180014639 IL Primary

Addresses

Primary practice location

70 Begonia Dr
Matteson, IL 60443-1589

Mailing address

70 Begonia Dr
Matteson, IL 60443-1589
Phone (708) 372-2178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240214002303 IL Practitioner - Mental Health Counselor 3375987654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

1051 Perimeter Dr
Suite 700
Schaumburg, IL 60173-5855
Phone (800) 693-1916

1560 Wall St
Suite 204
Naperville, IL 60563-1146
Phone (800) 693-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180014639ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Aug 27, 2024 Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Jan 1, 2024 Accepting new patients

Locations

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

1560 Wall St
Ste 204
Naperville, IL 60563
Phone (630) 491-9749

7820 Graphics Dr
Ste 100
Tinley Park, IL 60477

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": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1033839873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 BEGONIA DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431589",
            "telephone_number": "708-372-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BEGONIA DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431589",
            "telephone_number": "708-372-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGELS",
        "first_name": "SUSAN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180014639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matteson, IL

Sources for this page

Verify at the official NPI Registry.