Individual provider Active NPI

Susan Proebsting, LCPC

  • Professional Counselor
  • Crystal Lake, IL
National Provider Identifier
1740990456
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.017821 Issued in IL
Practice address
377 W Virginia St
Crystal Lake, IL 60014-5756
Phone
(815) 707-4806
Fax
(815) 977-8715
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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 180.017821 IL Primary

Addresses

Primary practice location

377 W Virginia St
Crystal Lake, IL 60014-5756

Mailing address

377 W Virginia St
Crystal Lake, IL 60014-5756
Phone (815) 707-4806

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
I20260112001653 IL Practitioner - Mental Health Counselor 0941786727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
The Center for Courageous Living LLCGroup PAC ID 7113350612, 6 clinicians

Practice addresses (Care Compare)

377 W Virginia St
Crystal Lake, IL 60014-5756
Phone (815) 707-4806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.017821ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transformations Counseling PLLC Mental Health CurrentSince Jul 15, 2024 Accepting new patients
The Center for Courageous Living LLC CurrentSince Dec 26, 2025 Accepting new patients

Locations

377 W Virginia St
Crystal Lake, IL 60014
Phone (815) 707-4806

9 Crystal Lake Rd
Ste 150
Lake in the Hills, IL 60156
Phone (815) 324-3979

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": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1740990456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 W VIRGINIA ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600145756",
            "telephone_number": "815-707-4806",
            "fax_number": "815-977-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 W VIRGINIA ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600145756",
            "telephone_number": "815-707-4806",
            "fax_number": "815-977-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROEBSTING",
        "first_name": "SUSAN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.017821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.