Individual provider Active NPI

Susan Marie Riley, LCPC

  • Professional Counselor
  • Naperville, IL
National Provider Identifier
1699980979
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-005244 Issued in IL
Practice address
1755 Park St
Suite 300
Naperville, IL 60563-4861
Phone
(630) 416-6056
Fax
(630) 983-4839
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180-005244 IL Primary

Addresses

Primary practice location

1755 Park St
Suite 300
Naperville, IL 60563-4861

Mailing address

4953 Florence Ave
Downers Grove, IL 60515-3916
Phone (630) 204-2845

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
I20241001003307 IL Practitioner - Mental Health Counselor 1355872342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alw Group GrowGroup PAC ID 3971910530, 17 clinicians

Practice addresses (Care Compare)

200 E 5TH Ave
Suite 109
Naperville, IL 60563-3173
Phone (331) 457-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180-005244ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alw Group Grow CurrentSince Jul 20, 2024 Accepting new patients

Locations

200 E 5th Ave
Ste 109
Naperville, IL 60563
Phone (331) 248-6194

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1699980979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4953 FLORENCE AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153916",
            "telephone_number": "630-204-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 PARK ST",
            "address_2": "SUITE 300",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634861",
            "telephone_number": "630-416-6056",
            "fax_number": "630-983-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-005244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.