Individual provider Active NPI

Susanne Logsdon, LPC, NCC

  • Mental Health Counselor
  • Lake in the Hills, IL
National Provider Identifier
1487463568
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.020713 Issued in IL
Practice address
9 Crystal Lake Rd Ste 150
Lake in the Hills, IL 60156-1254
Phone
(847) 802-9236
NPI assigned
Jan 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.020713 IL Primary

Addresses

Primary practice location

9 Crystal Lake Rd Ste 150
Lake in the Hills, IL 60156-1254

Mailing address

1436 Whitefence Rd
Bartlett, IL 60103-1871
Phone (773) 332-1899

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
178.020713ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transformations Counseling PLLC Mental Health CurrentSince Jul 7, 2024 Accepting new patients

Locations

9 Crystal Lake Rd
Ste 150
Lake in the Hills, IL 60156
Phone (815) 324-3979

6845 Weaver Rd
Ste 100
Rockford, IL 61114
Phone (815) 324-3979

Interoperability endpoints

  • Direct secure messaging: susanne.logsdon.1@25899.direct.athenahealth.com

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": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1487463568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 WHITEFENCE RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601031871",
            "telephone_number": "773-332-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CRYSTAL LAKE RD STE 150",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601561254",
            "telephone_number": "847-802-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGSDON",
        "first_name": "SUSANNE",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.020713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.