Individual provider Active NPI

Susan L Koestler

  • Mental Health Counselor
  • Geneva, IL
National Provider Identifier
1043393937
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
22 Crissey Ave Ste 200
Geneva, IL 60134-2351
Phone
(630) 232-7770
Fax
(630) 232-7770
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IL Primary

Addresses

Primary practice location

22 Crissey Ave Ste 200
Geneva, IL 60134-2351

Mailing address

22 Crissey Ave Ste 200
Geneva, IL 60134-2351
Phone (630) 232-7770

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
149009180ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emma B Arellano Cabusao LTD Past Accepting new patients
Intermission Therapies, LTD. PastSince Nov 1, 2024 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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043393937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CRISSEY AVE STE 200",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342351",
            "telephone_number": "630-232-7770",
            "fax_number": "630-232-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CRISSEY AVE STE 200",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342351",
            "telephone_number": "630-232-7770",
            "fax_number": "630-232-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOESTLER",
        "first_name": "SUSAN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.