Susan Ackley, LCPC
Individual provider Active NPI Professional Counselor · Oak Brook, IL
NPI 1609086552 · NPPES record last updated Aug 1, 2016
Key facts
- NPI
- 1609086552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180.003566 (IL)
- Practice address
- 2625 Butterfield Rd
Suite 138S
Oak Brook, IL 60523-1234 - Phone
- (708) 830-0080
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16890 | IL | MD | Addiction (Substance Use Disorder) Counselor |
| 180.003566 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Point LLC | Professional | Current |
Accepting new patients |
Locations
1314 Kensington Rd
Unit 3144
Oak Brook, IL 60522
2625 Butterfield Rd
Ste 138S
Oak Brook, IL 60523
Phone (630) 290-2246
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16890 | IL | |
| Professional Counselor | 101YP2500X | 180.003566 | IL | Yes |
Addresses
Primary practice location
2625 Butterfield Rd
Suite 138S
Oak Brook, IL 60523-1234
Mailing address
1314 Kensington Rd
3144
Oak Brook, IL 60522-7101
Phone (708) 830-0080
Other providers in Oak Brook, IL
- Ac Medtran Inc
- Accelerated Rehabilitation Center of Kenosha LTD
- Accelerated Rehabilitation Centers of Phoenix LLC
- Acdi - Oak Brook, LLC.
- Acdi Glenview,LLC.
- Kemi Nicole Ademuyiwa
- Khadijat Adeola Adeniyi
- Hannah A Aderele
- Advancare Healthcare Services LLC
- Advance Inpatient Medicine LLC
All providers in Oak Brook, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.