Suncrest Studios

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180005054 Issued in IL

Legal business name

SUNCREST STUDIOS

Practice address

4320 Winfield Rd
Warrenville, IL 60555-4018

Phone

(708) 257-3830

NPI assigned

Feb 27, 2017

Organization subpart

No

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

Authorized official

Name

Heather RandazzoNPI 1548331721

Title

Administrator

Phone

(708) 257-3830

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Randazzo, LCPC, ATR-BC

  • Professional Counselor
  • Bolingbrook, IL
  • NPI 1548331721
  NPD (past) Authorized official

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1356881122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 SUNCREST LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604903279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 WINFIELD RD",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605554018",
            "telephone_number": "708-257-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCREST STUDIOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "RANDAZZO",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-257-3830"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180005054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert S Stephano, RPH
• William R Sterba II, M.D.
• Meaghan Sterchi, PMHNP-BC
• Zachary A Stutzman, PA-C
• Julia D Suger, PT
• Steve Sustman, PTA
• Hannah Grace Sutherland, PHARM.D.
• Edward Grant Sutter, MD
• Swing Care Provider Group, PC
• Abrahim Uddin Syed, M.D.

• Professional Counselor in Warrenville, IL
• Providers in Warrenville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.