Individual provider Active NPI

Susan Marie Anewalt, LCPC

  • Mental Health Counselor
  • Northbrook, IL
National Provider Identifier
1083297816
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.017824 Issued in IL
Practice address
899 Skokie Blvd Ste 260
Northbrook, IL 60062-4019
Phone
(630) 974-6602
Fax
(630) 487-2411
NPI assigned
Apr 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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 180.017824 IL Primary

Addresses

Primary practice location

899 Skokie Blvd Ste 260
Northbrook, IL 60062-4019

Mailing address

899 Skokie Blvd Ste 260
Northbrook, IL 60062-4019
Phone (630) 974-6602

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
I20251230001816 IL Practitioner - Mental Health Counselor 5890281752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMS Clinical Services PLLCGroup PAC ID 7517395064, 30 clinicians

Practice addresses (Care Compare)

899 Skokie Blvd
Suite 260
Northbrook, IL 60062-4019
Phone (630) 974-6602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.017824ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
TMS Clinical Services PLLC CurrentSince Dec 15, 2025 Accepting new patients
Relief Mental Health CurrentSince Dec 15, 2025 Accepting new patients

Locations

3264 N Clark St
Chicago, IL 60657

899 Skokie Blvd
Ste 260
Northbrook, IL 60062
Phone (630) 970-6602

1100 Jorie Blvd
Ste 300
Oak Brook, IL 60523
Phone (224) 900-7867

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": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1083297816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 SKOKIE BLVD STE 260",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624019",
            "telephone_number": "630-974-6602",
            "fax_number": "630-487-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 SKOKIE BLVD STE 260",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624019",
            "telephone_number": "630-974-6602",
            "fax_number": "630-487-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANEWALT",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.017824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.