Kelly Suzanne Strumillo

Primary specialty

CounselorTaxonomy code 101Y00000X

License

178.017024 Issued in IL

Practice address

1001 Maple Ave
Downers Grove, IL 60515-4928

Phone

(630) 353-0697

NPI assigned

Jul 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• D G Counseling Inc

  • Mental Health Counselor
  • Downers Grove, IL
  • NPI 1386877660
  NPD
• Balanced Approach Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Downers Grove, IL
  • NPI 1912663410
  NPD (past)

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1356959704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 FOREST AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MAPLE AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154928",
            "telephone_number": "630-353-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUMILLO",
        "first_name": "KELLY",
        "middle_name": "SUZANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.017024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Stone
• Kaylee Amelia Stowe
• Grace Stradling
• Katherine Anne Strube
• Ronald W Struebing, PT
• Christine H Stryjewski, MBA, MSW, LCSW, CADC
• Elizabeth Stuart
• Jeannine Stupka, M.A. CCC-SLP
• Alyssa Stylski
• Shu-Han Su, LPC

• Counselor in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.