Individual provider Active NPI

Susan Steinke, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1053075564
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180013872 Issued in IL
Practice address
30 N Michigan Ave Ste 424
Chicago, IL 60602-3844
Phone
(312) 279-9981
Fax
(312) 279-9981
NPI assigned
Oct 30, 2021
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 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 180013872 IL Primary

Addresses

Primary practice location

30 N Michigan Ave Ste 424
Chicago, IL 60602-3844

Mailing address

4716 N Washtenaw Ave FL 2
Chicago, IL 60625-2928
Phone (864) 414-6431

Other identifiers 1

IdentifierTypeStateIssuer
180013872OtherILSTATE OF ILLINOIS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address MINDBODYCOOP.SUSANSTEINKE@147350.ADVANCEDMD-DIRECT.COM Health Information Exchange (HIE)
Direct Messaging Address MINDBODYCOOP.SUSANSTEINKE@147350.ADVANCEDMD-DIRECT.COM Health Information Exchange (HIE) Mind Body Co-op

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
I20250429001696 IL Practitioner - Mental Health Counselor 0648796037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifepath Therapy Associates, LLCGroup PAC ID 7911333703, 12 clinicians

Practice addresses (Care Compare)

25 E Washington St
Suite 1835
Chicago, IL 60602-1836
Phone (312) 940-3655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180013872ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifepath Therapy Associates, LLC Professional CurrentSince Apr 7, 2025 Accepting new patients
Mind Body Co-Op Professional CurrentSince Oct 1, 2022 Accepting new patients
Mind Body Co-Op Professional CurrentSince Nov 1, 2021 Accepting new patients

Locations

25 E Washington St
Ste 1835
Chicago, IL 60602
Phone (312) 940-3655

30 N Michigan Ave
Ste 424
Chicago, IL 60602
Phone (312) 279-9981

Interoperability endpoints

  • Direct secure messaging: mindbodycoop.susansteinke@147350.advancedmd-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1635552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1053075564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 N WASHTENAW AVE FL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252928",
            "telephone_number": "864-414-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 424",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023844",
            "telephone_number": "312-279-9981",
            "fax_number": "312-279-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINKE",
        "first_name": "SUSAN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-30",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180013872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS",
            "identifier": "180013872",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MINDBODYCOOP.SUSANSTEINKE@147350.ADVANCEDMD-DIRECT.COM",
            "affiliation": "N",
            "endpointDescription": "AMD",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "30 N Michigan Ave Ste 424",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606023844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MINDBODYCOOP.SUSANSTEINKE@147350.ADVANCEDMD-DIRECT.COM",
            "affiliation": "Y",
            "endpointDescription": "AMD",
            "affiliationName": "Mind Body Co-op",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "30 N Michigan Ave Ste 424",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606023844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.