Individual provider Active NPI

Suzanne Antoinette Favors, CRSS, CPRS

  • Mental Health Counselor
  • Elgin, IL
National Provider Identifier
1770047821
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
35577OtherILIODAPCA
34971OtherILIODAPCA

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.

Verify at the official NPI Registry.