Individual provider Active NPI

Elizabeth Susan House, LCPC, CADC

  • Professional Counselor
  • Lombard, IL
National Provider Identifier
1750980538
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180015585 Issued in IL
Practice address
444 E Roosevelt Rd Ste 252
Lombard, IL 60148-4630
Phone
(331) 305-4055
NPI assigned
Oct 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 178016422 IL
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 180015585 IL
Professional Counselor 101YP2500X 180015585 IL Primary

Addresses

Primary practice location

444 E Roosevelt Rd Ste 252
Lombard, IL 60148-4630

Mailing address

444 E Roosevelt Rd Ste 252
Lombard, IL 60148-4630
Phone (331) 305-4055

Other practice location 1

1300 Iroquois Ave Ste 220A
Naperville, IL 60563-1682
Phone (331) 305-4055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178016422ILMDCounselor
180015585ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cultivating Choices PLLC Mental Health CurrentSince Oct 1, 2023 Accepting new patients

Locations

444 E Roosevelt Rd
Lombard, IL 60148
Phone (331) 214-3331

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": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1750980538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 E ROOSEVELT RD STE 252",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484630",
            "telephone_number": "331-305-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 E ROOSEVELT RD STE 252",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484630",
            "telephone_number": "331-305-4055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Iroquois Ave Ste 220A",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605631682",
            "country_code": "US",
            "telephone_number": "331-305-4055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "ELIZABETH",
        "middle_name": "SUSAN",
        "credential": "LCPC, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178016422",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180015585",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180015585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.