Aaron Subich

Primary specialty

CounselorTaxonomy code 101Y00000X

License

178015317 Issued in IL

Practice address

2150 Manchester Rd Ste 110
Wheaton, IL 60187-2474

Phone

(630) 752-9874

NPI assigned

Oct 19, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Intimately Connected Therapy LLC

  • Professional Counselor
  • North Barrington, IL
  • NPI 1992506919
  NPD Authorized official

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

{
    "created_epoch": "1571443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571443200000",
    "number": "1376186650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 N OLD RAND RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472287",
            "telephone_number": "847-977-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 MANCHESTER RD STE 110",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872474",
            "telephone_number": "630-752-9874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2615 Three Oaks Rd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "IL",
            "postal_code": "600136119",
            "country_code": "US",
            "telephone_number": "708-732-3527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBICH",
        "first_name": "AARON",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-19",
        "last_updated": "2019-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "270000217",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178015317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Strong, LCSW
• Christine Stuart, LPC
• Lydia Grace Stumme-Berg
• Susan M Stutzman, LPC
• Lenora Su, MD
• Stacy Suh
• Bridget M Sulek
• Connor J Sullivan, PA-C
• Dominique Angela Sullivan, M.ED, DT
• Erin Sullivan, SLP

• Counselor in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.