Individual provider Active NPI

Carla E Suber, LCPC

  • Professional Counselor
  • Evanston, IL
National Provider Identifier
1265794770
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.011056 Issued in IL
Practice address
1740 Ridge Ave Ste LL4
Evanston, IL 60201-5909
Phone
(847) 868-2071
NPI assigned
Jun 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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 180.011056 IL Primary

Addresses

Primary practice location

1740 Ridge Ave Ste LL4
Evanston, IL 60201-5909

Mailing address

3166 N Lincoln Ave Ste 314
Chicago, IL 60657-3119
Phone (847) 868-2071

Other practice location 1

44 E Main St
Suite 406
Champaign, IL 61820-3636
Phone (217) 398-9066

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

LicenseStateTypeSpecialty
180.011056ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Suber Counseling & Consulting, LLC Professional CurrentSince Oct 13, 2019 Accepting new patients

Locations

1740 Ridge Ave
Ste LL4
Evanston, IL 60201
Phone (773) 234-3378

Organizations & group practices 1

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": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1265794770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3166 N LINCOLN AVE STE 314",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573119",
            "telephone_number": "847-868-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 RIDGE AVE STE LL4",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015909",
            "telephone_number": "847-868-2071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 E Main St",
            "address_2": "Suite 406",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "618203636",
            "country_code": "US",
            "telephone_number": "217-398-9066",
            "fax_number": "217-398-9077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBER",
        "first_name": "CARLA",
        "middle_name": "E",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.011056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.