Susan Ackley, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.003566 Issued in IL

Practice address

2625 Butterfield Rd
Suite 138S
Oak Brook, IL 60523-1234

Phone

(708) 830-0080

NPI assigned

May 22, 2007

Last updated

Aug 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Compass Point LLC

  • Professional Counselor
  • Oak Brook, IL
  • NPI 1891567996
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1609086552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 KENSINGTON RD",
            "address_2": "3144",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605227101",
            "telephone_number": "708-830-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD",
            "address_2": "SUITE 138S",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231234",
            "telephone_number": "708-830-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKLEY",
        "first_name": "SUSAN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "16890",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.003566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ac Medtran Inc
• Accelerated Rehabilitation Center of Kenosha LTD (Athletico Physical Therapy)
• Accelerated Rehabilitation Centers of Phoenix LLC (Athletico Phyiscal Therapy)
• Acdi - Oak Brook, LLC.
• Acdi Glenview,LLC.
• Kemi Nicole Ademuyiwa
• Khadijat Adeola Adeniyi, FNP
• Hannah A Aderele
• Advancare Healthcare Services LLC
• Advance Inpatient Medicine LLC

• Professional Counselor in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.