Active NPI
Susan Norsigian, LCPC
- Mental Health Counselor
- Fairview Heights, IL
National Provider Identifier
1194939256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180-005888
- Practice address
- 125 N Ruby LN
Fairview Heights, IL 62208-1926 - Phone
- (618) 398-4226
- Fax
- (618) 398-1759
- NPI assigned
- May 9, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180-005888 | IL | Primary |
Addresses
Primary practice location
125 N Ruby LN
Fairview Heights, IL 62208-1926
Mailing address
125 N Ruby LN
Fairview Heights, IL 62208-1926
Phone (618) 398-4226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216576 | Other | MO | BCBS MO |
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 |
|---|---|---|---|
| 180-005888 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194939256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 N RUBY LN",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622081926",
"telephone_number": "618-398-4226",
"fax_number": "618-398-1759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 N RUBY LN",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622081926",
"telephone_number": "618-398-4226",
"fax_number": "618-398-1759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORSIGIAN",
"first_name": "SUSAN",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180-005888",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MO",
"identifier": "216576",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairview Heights, 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.