Active NPI
Suzanne Antoinette Favors, CRSS, CPRS
- Mental Health Counselor
- Elgin, IL
National Provider Identifier
1770047821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- Ecker Center for Mental Health
1845 Grandstand Place
Elgin, IL 60123-4983 - Phone
- (847) 695-0484
- NPI assigned
- Jan 23, 2019
- Last updated
- Feb 20, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
Ecker Center for Mental Health
1845 Grandstand Place
Elgin, IL 60123-4983
Mailing address
826 Iowa Ave
Aurora, IL 60506-2302
Phone (630) 414-6760
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35577 | Other | IL | IODAPCA |
| 34971 | Other | IL | IODAPCA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1770047821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 IOWA AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605062302",
"telephone_number": "630-414-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ECKER CENTER FOR MENTAL HEALTH",
"address_2": "1845 GRANDSTAND PLACE",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234983",
"telephone_number": "847-695-0484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAVORS",
"first_name": "SUZANNE",
"middle_name": "ANTOINETTE",
"credential": "CRSS, CPRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-23",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IODAPCA",
"identifier": "35577",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IODAPCA",
"identifier": "34971",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.