Active NPI
Susan G Litoff
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1528397759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CERTIFICATION #65
- Practice address
- 55 E Washington St
Suite 2504
Chicago, IL 60602-2103 - Phone
- (312) 236-6280
- NPI assigned
- Dec 17, 2009
- 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 | CERTIFICATION #65 | IL | Primary |
Addresses
Primary practice location
55 E Washington St
Suite 2504
Chicago, IL 60602-2103
Mailing address
2225 Wesley Ave
Evanston, IL 60201-2647
Phone (847) 630-6280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L310-7875-0825 | Other | IL | DRIVER'S LICENSE |
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 |
|---|---|---|---|
| CERTIFICATION #65 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261008000000",
"number": "1528397759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 WESLEY AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602012647",
"telephone_number": "847-630-6280",
"fax_number": "847-733-1174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 E WASHINGTON ST",
"address_2": "SUITE 2504",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606022103",
"telephone_number": "312-236-6280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITOFF",
"first_name": "SUSAN",
"middle_name": "G",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-17",
"last_updated": "2009-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "CERTIFICATION #65",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "L310-7875-0825",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.