Individual provider Active NPI

Susan L Plezia, MA LPC

  • Mental Health Counselor
  • Normal, IL
National Provider Identifier
1689208241
Registry record updated Feb 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.011797 Issued in IL
Practice address
706 Oglesby Ave Ste 111
Normal, IL 61761-4624
Phone
(309) 585-0241
NPI assigned
Feb 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 178.011797 IL Primary

Addresses

Primary practice location

706 Oglesby Ave Ste 111
Normal, IL 61761-4624

Mailing address

1403 Blackstone St
Bloomington, IL 61701-2665
Phone (217) 220-5376

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260316001004 IL Practitioner - Mental Health Counselor 4486137601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1403 Blackstone St
Bloomington, IL 61701-2665

808 S Eldorado Rd
Suite 400
Bloomington, IL 61704-6068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
178.011797ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Metamorphosis Counseling CurrentSince Feb 4, 2024 Accepting new patients
Truth in Love Counseling LLC Single Specialty CurrentSince Jan 26, 2026 Accepting new patients

Locations

808 S Eldorado Rd
Ste 400
Bloomington, IL 61704
Phone (309) 336-3007

Organizations & group practices 2

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": "1582416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582416000000",
    "number": "1689208241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 BLACKSTONE ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617012665",
            "telephone_number": "217-220-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 OGLESBY AVE STE 111",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617614624",
            "telephone_number": "309-585-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEZIA",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "MA LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-23",
        "last_updated": "2020-02-23",
        "certification_date": "2020-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.011797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

Verify at the official NPI Registry.