Active NPI
Susan R Magee, LCPC, CADC
- Professional Counselor
- Lake Villa, IL
National Provider Identifier
1447435128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.005019
- Practice address
- 34930 N Highway 45
Suite 101
Lake Villa, IL 60046-7537 - Phone
- (847) 826-1569
- NPI assigned
- Dec 31, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 20331 | IL | |
| Professional Counselor | 101YP2500X | 180.005019 | IL | Primary |
Addresses
Primary practice location
34930 N Highway 45
Suite 101
Lake Villa, IL 60046-7537
Mailing address
PO Box 8631
Gurnee, IL 60031-7018
Phone (847) 826-1569
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 |
|---|---|---|---|
| 20331 | IL | MD | Addiction (Substance Use Disorder) Counselor |
| 180.005019 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294185600000",
"number": "1447435128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8631",
"city": "GURNEE",
"state": "IL",
"postal_code": "600317018",
"telephone_number": "847-826-1569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34930 N HIGHWAY 45",
"address_2": "SUITE 101",
"city": "LAKE VILLA",
"state": "IL",
"postal_code": "600467537",
"telephone_number": "847-826-1569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGEE",
"first_name": "SUSAN",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "LCPC, CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-31",
"last_updated": "2011-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "20331",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.005019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Villa, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.