Active NPI
Susan M Olson, LCPC
- Counselor
- St Charles, IL
National Provider Identifier
1144239047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 180001663
- Practice address
- 1121 E Main St
Suite 130
St Charles, IL 60174-2205 - Phone
- (630) 513-5576
- Fax
- (630) 513-5657
- NPI assigned
- Aug 7, 2006
- Last updated
- Jun 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 180001663 | IL | Primary |
Addresses
Primary practice location
1121 E Main St
Suite 130
St Charles, IL 60174-2205
Mailing address
PO Box 1509
Elgin, IL 60121-1509
Phone (224) 238-4160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04532734 | Other | IL | BCBS |
Other names 1
- Susan M Strum
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180001663 | IL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1144239047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1509",
"city": "ELGIN",
"state": "IL",
"postal_code": "601211509",
"telephone_number": "224-238-4160",
"fax_number": "847-783-0599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 E MAIN ST",
"address_2": "SUITE 130",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601742205",
"telephone_number": "630-513-5576",
"fax_number": "630-513-5657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "SUSAN",
"middle_name": "M",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180001663",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "04532734",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "STRUM",
"middle_name": "M",
"credential": "MS LCPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.