Individual provider Active NPI

Susan M Newberry, CADC, CODP 1, CHAA

  • Addiction (Substance Use Disorder) Counselor
  • Elgin, IL
National Provider Identifier
1881574101
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37240 Issued in IL
Practice address
1175 Spruce LN Unit G
Elgin, IL 60120-4820
Phone
(779) 220-1383
NPI assigned
Sep 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 195000 IL
Peer Specialist 175T00000X IL
Health Information Specialist/Technologist 246Y00000X NA MI
Addiction (Substance Use Disorder) Counselor 101YA0400X 37240 IL Primary

Addresses

Primary practice location

1175 Spruce LN Unit G
Elgin, IL 60120-4820

Mailing address

1175 Spruce LN Unit G
Elgin, IL 60120-4820
Phone (779) 220-1383

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
37240ILMDAddiction (Substance Use Disorder) Counselor
195000ILMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1881574101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 SPRUCE LN UNIT G",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204820",
            "telephone_number": "779-220-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 SPRUCE LN UNIT G",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204820",
            "telephone_number": "779-220-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBERRY",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "CADC, CODP 1, CHAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "195000",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "246Y00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Health Information",
            "state": "MI",
            "license": "NA",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "37240",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 5, 2025; 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.