Individual provider Active NPI

Susanne Lello Osei, NCC

  • Counselor
  • Lincolnshire, IL
National Provider Identifier
1295483428
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1096361 Issued in IL
Practice address
175 Olde Half Day Rd Ste 140-9
Lincolnshire, IL 60069-3062
Phone
(847) 508-5293
NPI assigned
Mar 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1096361 IL Primary

Addresses

Primary practice location

175 Olde Half Day Rd Ste 140-9
Lincolnshire, IL 60069-3062

Mailing address

60 W Terra Cotta Ave # 243
Crystal Lake, IL 60014-3548
Phone (847) 508-5293

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
1096361ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nikkie Evans, PLLC CurrentSince Mar 20, 2022 Accepting new patients

Locations

175 Olde Half Day Rd
Ste 140-9
Lincolnshire, IL 60069
Phone (847) 456-1880

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": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1295483428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W TERRA COTTA AVE # 243",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143548",
            "telephone_number": "847-508-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 OLDE HALF DAY RD STE 140-9",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693062",
            "telephone_number": "847-508-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSEI",
        "first_name": "SUSANNE",
        "middle_name": "LELLO",
        "credential": "NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "1096361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnshire, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.