Active NPI
Susanne Elizabeth Simmons, LMFT
- Marriage & Family Therapist
- Winnetka, IL
National Provider Identifier
1427192889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 723 Elm St
Suite 2
Winnetka, IL 60093-2565 - Phone
- (847) 446-5770
- Fax
- (847) 424-9885
- NPI assigned
- Feb 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IL | Primary |
Addresses
Primary practice location
723 Elm St
Suite 2
Winnetka, IL 60093-2565
Mailing address
2545 Marcy Ave
Evanston, IL 60201-1111
Phone (847) 446-5770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1634658 | Other | IL | BLUE CROSS AND BLUE SHIEL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 166-000574 | IL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427192889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2545 MARCY AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011111",
"telephone_number": "847-446-5770",
"fax_number": "847-424-9885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 ELM ST",
"address_2": "SUITE 2",
"city": "WINNETKA",
"state": "IL",
"postal_code": "600932565",
"telephone_number": "847-446-5770",
"fax_number": "847-424-9885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "SUSANNE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "1634658",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winnetka, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.