Active NPI
Christina Terese Sun Oo, LCPC
- Professional Counselor
- Naperville, IL
National Provider Identifier
1578018164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178011820
- Practice address
- 852 S West St
Naperville, IL 60540-6400 - Phone
- (630) 305-5182
- NPI assigned
- Aug 24, 2016
- Last updated
- Jul 14, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178011820 | IL | Primary |
Addresses
Primary practice location
852 S West St
Naperville, IL 60540-6400
Mailing address
2501 Chatham Rd Ste 8144
Springfield, IL 62704-4188
Phone (224) 215-1808
Other practice location 1
10001 W Grand Ave.
Franklin Park, IL 60131
Phone (847) 451-8305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Oct 4, 2024 through Oct 4, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178011820 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Bird Psychotherapy PLLC | Current | Accepting new patients |
Locations
2501 Chatham Rd
Springfield, IL 62704
Phone (312) 625-0078
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Springfield, IL
- NPI 1245918077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1578018164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 CHATHAM RD STE 8144",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627044188",
"telephone_number": "224-215-1808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "852 S WEST ST",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605406400",
"telephone_number": "630-305-5182"
}
],
"practiceLocations": [
{
"address_1": "10001 W Grand Ave.",
"address_purpose": "LOCATION",
"city": "Franklin Park",
"state": "IL",
"postal_code": "60131",
"country_code": "US",
"telephone_number": "847-451-8305",
"fax_number": "847-451-0761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUN OO",
"first_name": "CHRISTINA",
"middle_name": "TERESE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-24",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178011820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.