Active NPI
Melinda Griffith Sutter
- Mental Health Counselor
- Libertyville, IL
National Provider Identifier
1679224190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 900 Technology Way Ste 320
Libertyville, IL 60048-5364 - Phone
- (847) 680-2715
- Fax
- (847) 680-3832
- NPI assigned
- Jan 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
900 Technology Way Ste 320
Libertyville, IL 60048-5364
Mailing address
900 Technology Way Ste 320
Libertyville, IL 60048-5364
Phone (847) 680-2715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 Technology Way
Suite 320
Libertyville, IL 60048-5364
Phone 8476802715221
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Connection Inc. | Single Specialty | Current | Accepting new patients |
Locations
900 Technology Way
Ste 320
Libertyville, IL 60048
Phone (847) 680-2715
3 W Hawthorn Pkwy
Ste 120
Vernon Hills, IL 60061
Phone (847) 680-2715
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1679224190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 TECHNOLOGY WAY STE 320",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600485364",
"telephone_number": "847-680-2715",
"fax_number": "847-680-3832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 TECHNOLOGY WAY STE 320",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600485364",
"telephone_number": "847-680-2715",
"fax_number": "847-680-3832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTER",
"first_name": "MELINDA",
"middle_name": "GRIFFITH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-17",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.