Shantrell Patrice Sutton-McKenzie, LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

18015878 Issued in IL

Practice address

5042 W Erie St
Chicago, IL 60644-1604

Phone

(773) 208-2666

NPI assigned

Nov 5, 2020

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

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.

• Speak Hue

  • Professional Counselor
  • Richton Park, IL
  • NPI 1730076225
  NPD Authorized official

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708128000000",
    "number": "1609477579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22910 BRUCE DR",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604712302",
            "telephone_number": "312-566-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5042 W ERIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606441604",
            "telephone_number": "773-208-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON-MCKENZIE",
        "first_name": "SHANTRELL",
        "middle_name": "PATRICE",
        "name_prefix": "Miss",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178016427",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "18015878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Lynn Sutter Gress, LCSW
• David Aime Sutter, DO
• Frank Thomas Sutter, D.C.
• Joanne Sophia Sutter, MD
• Robbinette Sutton-Haley, REGISTERED DIETITIAN
• Bridget Sutton
• Celeste Marie Sutton, LCPC
• Ernest Sutton II, M.D.
• Gabrielle Lynn Sutton
• Judith Ann Sutton, NP

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2024; 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.