Individual provider Active NPI

Susan Elizabeth Ryan-Michalak, LPC

  • Professional Counselor
  • Orland Park, IL
National Provider Identifier
1205106481
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.007802 Issued in IL
Practice address
200 Ravinia PL
Orland Park, IL 60462
Phone
(708) 460-1212
NPI assigned
Jan 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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 178.007802 IL Primary

Addresses

Primary practice location

200 Ravinia PL
Orland Park, IL 60462

Mailing address

9750 Crescent Park Cir Unit 306
Orland Park, IL 60462-7504

Other names 1

  • Ms. Susan Elizabeth Ryan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.007802ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
S- R&R Counseling Inc. Current Accepting new patients
Carolyn Guerra Burns PSYD Inc PastSince Dec 31, 2006 Accepting new patients
Dr. Kimberly a. Lemke P.C. Past Accepting new patients
Newsome & Associates, LTD. Past Accepting new patients

Locations

7330 W College Dr
Ste 102
Palos Heights, IL 60463

Organizations & group practices 4

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": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1205106481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 CRESCENT PARK CIR UNIT 306",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604627504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RAVINIA PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60462",
            "telephone_number": "708-460-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN-MICHALAK",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.007802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "RYAN",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.