Active NPI
Susanne Logsdon, LPC, NCC
- Mental Health Counselor
- Lake in the Hills, IL
National Provider Identifier
1487463568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 178.020713
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 178.020713 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transformations Counseling PLLC | Mental Health | Current | 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
- 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.