Susann Elisabeth Puican, M.ED, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.013608 Issued in IL

Practice address

1471 W Carmen Ave Apt 2N
Chicago, IL 60640-2890

Phone

(773) 206-8591

NPI assigned

May 23, 2021

Sex

Female

Sole proprietor

No

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

Credentials

Master of Education

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.

• Inner Child Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oak Park, IL
  • NPI 1942055066
  NPD Authorized official

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

{
    "created_epoch": "1621728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621728000000",
    "number": "1619542685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 W CARMEN AVE APT 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402890",
            "telephone_number": "773-206-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 W CARMEN AVE APT 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402890",
            "telephone_number": "773-206-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUICAN",
        "first_name": "SUSANN",
        "middle_name": "ELISABETH",
        "credential": "M.ED, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-23",
        "last_updated": "2021-05-23",
        "certification_date": "2021-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.013608",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.013608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Patrick Pugh, PMHNP
• Barry Puhr, LCSW, MA
• Riley W Puhr, DPT
• Pui Tak Center
• Sin Lei Pui, MD
• Michael Anthony Puisis, D.O.
• Puja Shah O.D, P.C
• Mateo L Pujol
• Pulaski Amazing Dental LLC
• Pulaski Dental Center P.C (pulaski dental)

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2021; 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.