Active NPI
Susan Marie Riley, LCPC
- Professional Counselor
- Naperville, IL
National Provider Identifier
1699980979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180-005244
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180-005244 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alw Group Grow | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.