NPIMap

Organization Active NPI

Suzanne S. Walker LLC

Doing business as Suzanne S. Walker

  • Professional Counselor
  • Lake Bluff, IL
National Provider Identifier
1265754816
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180001588 Issued in IL
Legal business name
SUZANNE S. WALKER LLC
Doing business as
Suzanne S. Walker
Practice address
51 Sherwood Ter Ste W
Lake Bluff, IL 60044-2232
Phone
(847) 615-5450
Fax
(847) 615-1783
NPI assigned
Feb 24, 2010
Last updated
Feb 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Authorized official

Name
Suzanne Walker, LCPC, CADCNPI 1417284902
Title
Owner
Phone
(847) 615-5450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13728 IL
Professional Counselor 101YP2500X 180001588 IL Primary

Addresses

Primary practice location

51 Sherwood Ter Ste W
Lake Bluff, IL 60044-2232

Mailing address

51 Sherwood Ter Ste W
Lake Bluff, IL 60044-2232
Phone (847) 615-5450

Other identifiers 1

IdentifierTypeStateIssuer
1417284902OtherILNPI TYPE 1

Other names 1

  • Suzanne S. Walker Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1265754816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SHERWOOD TER STE W",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442232",
            "telephone_number": "847-615-5450",
            "fax_number": "847-615-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SHERWOOD TER STE W",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442232",
            "telephone_number": "847-615-5450",
            "fax_number": "847-615-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE S. WALKER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-615-5450",
        "authorized_official_credential": "LCPC, CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "13728",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180001588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1417284902",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suzanne S. Walker",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Bluff, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.