Active NPI
Suzanna Clare Thomas, LCPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1811506702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178016073
- Practice address
- 661 W Lake St # 2SE
Chicago, IL 60661-1034 - Phone
- (774) 273-1297
- NPI assigned
- Jul 27, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | 178016073 | IL | Primary |
Addresses
Primary practice location
661 W Lake St # 2SE
Chicago, IL 60661-1034
Mailing address
2453 W Irving Park Rd Apt 2W
Chicago, IL 60618-2493
Phone (774) 273-1297
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
| License | State | Type | Specialty |
|---|---|---|---|
| 178016073 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolving Perspectives Psychotherapy PLLC | Current | Accepting new patients |
Locations
661 W Lake St
Ste 2S
Chicago, IL 60661
Phone (312) 775-2045
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.
-
- Mental Health Counselor
- Chicago, IL
- NPI 1417734625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1811506702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2453 W IRVING PARK RD APT 2W",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606182493",
"telephone_number": "774-273-1297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 W LAKE ST # 2SE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606611034",
"telephone_number": "774-273-1297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "SUZANNA",
"middle_name": "CLARE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-27",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178016073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.