Susan M. Reitsma

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180000782 Issued in IL

Practice address

501 Ella Avenue
Joliet, IL 60433-2799

Phone

(815) 727-8521

NPI assigned

Apr 2, 2007

Reactivated

Sep 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Susan M. Rogge Professional name

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

Specialty

Mental Health Counselor

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Platt Professional Counseling LLCGroup PAC ID 3971997735, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Platt Professional Counseling, LLC

  • Professional Counselor
  • Frankfort, IL
  • NPI 1609301639
  Medicare reassignment Care Compare group NPD
• County of Will

  • State or Local Public Health Clinic/Center
  • Joliet, IL
  • NPI 1609311695
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1174644041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 TOWNCENTER",
            "city": "UNIVERSITY PARK",
            "state": "IL",
            "postal_code": "604662800",
            "telephone_number": "708-534-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ELLA AVENUE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604332799",
            "telephone_number": "815-727-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITSMA",
        "first_name": "SUSAN",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2023-09-14",
        "deactivation_date": "2013-05-01",
        "reactivation_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180000782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "ROGGE",
            "middle_name": "M.",
            "credential": "L.C.P.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Professional Counselor in Joliet, IL
• Providers in Joliet, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.