Individual provider Active NPI

Suzanne Schulze Walker, LCPC, CADC

  • Professional Counselor
  • Lake Bluff, IL
National Provider Identifier
1417284902
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-001588 Issued in IL
Practice address
51 Sherwood Ter Ste W
Lake Bluff, IL 60044-2232
Phone
(847) 615-5450
Fax
(847) 615-1783
NPI assigned
Nov 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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 180-001588 IL Primary

Addresses

Primary practice location

51 Sherwood Ter Ste W
Lake Bluff, IL 60044-2232

Mailing address

51 Sherwood Ter Ste W
Lake Bluff, IL 60044-2232
Phone (847) 615-5450

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
180-001588ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Suzanne S. Walker 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": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1417284902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SHERWOOD TER STE W",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442232",
            "telephone_number": "847-615-5450",
            "fax_number": "847-615-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SHERWOOD TER STE W",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442232",
            "telephone_number": "847-615-5450",
            "fax_number": "847-615-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SUZANNE",
        "middle_name": "SCHULZE",
        "credential": "LCPC, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-001588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Bluff, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.