Individual provider Active NPI

Svit Lana Sukach

  • Professional Counselor
  • Deerfield, IL
National Provider Identifier
1366101529
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18005268 Issued in IL
Practice address
405 Lake Cook Rd
Deerfield, IL 60015-4993
Phone
(224) 303-4099
NPI assigned
Dec 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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 18005268 IL Primary

Addresses

Primary practice location

405 Lake Cook Rd
Deerfield, IL 60015-4993

Mailing address

405 Lake Cook Rd
Deerfield, IL 60015-4993
Phone (224) 303-4099

Other practice location 1

8383 Belmont Ave
River Grove, IL 60171-1000
Phone (224) 303-4099

Other practice location 2

925 N Plum Grove Rd Unit A-B
Schaumburg, IL 60173-4807
Phone (224) 303-4099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 5, 2024 through Apr 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18005268ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Counseling Center, LLC Professional Past Accepting new patients

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": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1366101529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 LAKE COOK RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154993",
            "telephone_number": "224-303-4099",
            "fax_number": "224-261-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LAKE COOK RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154993",
            "telephone_number": "224-303-4099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8383 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "River Grove",
            "state": "IL",
            "postal_code": "601711000",
            "country_code": "US",
            "telephone_number": "224-303-4099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 N Plum Grove Rd Unit A-B",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601734807",
            "country_code": "US",
            "telephone_number": "224-303-4099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUKACH",
        "first_name": "SVIT LANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "18005268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

Verify at the official NPI Registry.